Individual provider · Type 1 NPI

Katy Su

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1689471815 Active

Practice location

630 W 168th St
New York, NY 10032-3725

Mailing address

38 Hargrove Dr
Stony Brook, NY 11790-2327

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689471815

Katy Su's National Provider Identifier is 1689471815, issued on Feb 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Feb 26, 2025.