MEDICARE: KATERYNA DOROSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	128908	NY

General Provider Information

NPI Number	:	1457201873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATERYNA DOROSH

Provider Business Mailing Address
First Line	:	1419 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2615
Country	:	US
Telephone Number	:	718-210-3110
Fax Number	:	347-333-0865

Provider Business Practice Location Address
First Line	:	1419 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2615
Country	:	US
Telephone Number	:	718-210-3110
Fax Number	:	718-333-0865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ KATERYNA DOROSH ” Practice Location

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