Healthcare Provider Details

I. General information

NPI: 1881263820
Provider Name (Legal Business Name): KATHLYNE PURRINI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 E 72ND ST OFC 100
NEW YORK NY
10021-4635
US

IV. Provider business mailing address

428 E 72ND ST OFC 100
NEW YORK NY
10021-4635
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2224
  • Fax:
Mailing address:
  • Phone: 646-962-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number723472
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383274
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: