Individual provider · Type 1 NPI

Ketrina Gabrielle Dick

Specialist · Bronx, NY

NPI number 1417671306 Active

Practice location

120 Benchley Pl
Bronx, NY 10475-3402

Call (347) 843-7760 Map

Mailing address

100 Benchley Pl Apt 9B
Bronx, NY 10475-3344

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417671306

Ketrina Gabrielle Dick's National Provider Identifier is 1417671306, issued on Oct 3, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Oct 3, 2022.