Individual provider · Type 1 NPI

Katherine Perdomo

Licensed Practical Nurse · Riverhead, NY

NPI number 1801783204 Active

Practice location

170 Old Country Rd
Riverhead, NY 11901-2198

Fax (631) 208-4462

Mailing address

167 1st Ave
Lindenhurst, NY 11757-1105

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X353199-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1801783204

Katherine Perdomo's National Provider Identifier is 1801783204, issued on Jun 19, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Riverhead, NY. The record was last updated on Jun 19, 2025.