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General NPI Number Information
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NPI Number | 1265580625
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Entity Type | Individual
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Provider Name | CATHERINE NOZDROVICKY NP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 419-31 ATLANTIC AVE APT 1A
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-3038
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Country | US
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Telephone | 516-356-9569
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Fax | 516-593-1046
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Provider Business Mailing Address
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Address Line | 623 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4771
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Country | US
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Telephone | 516-356-9569
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Fax | 516-593-1046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F430221
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License Number State | NY
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