Healthcare Provider Details

I. General information

NPI: 1437708302
Provider Name (Legal Business Name): KATHERINE POSTEL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 77TH ST
NEW YORK NY
10075-1851
US

IV. Provider business mailing address

7129 66TH RD
MIDDLE VILLAGE NY
11379-2113
US

V. Phone/Fax

Practice location:
  • Phone: 917-584-4513
  • Fax:
Mailing address:
  • Phone: 917-584-4513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: