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Kathia Desronvil, NP
Acute Care Nurse Practitioner in Patchogue, New York
NPI 1760669659

Kathia Desronvil is an Acute Care Nurse Practitioner based in Raleigh, NY and is specialized in Acute Care. Kathia Desronvil practices in Patchogue, NY and has the professional credentials of NP. The NPI Number for Kathia Desronvil is 1760669659 and holds a License No. AC5005854 (New York).

The current practice location address for Kathia Desronvil is 101 Hospital Rd, Patchogue, NY and can be reached out via phone at 631-654-7100.

Location: 101 Hospital Rd, Patchogue, NY, 27616-8099
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Provider Profile Details
NPI Number
1760669659
Provider Name
Kathia Desronvil
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Hospital Rd, Patchogue, NY, 27616-8099
Phone Number
631-654-7100
Fax Number
Provider Enumeration Date
01/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4135 05 SC
1760669659 05 NC
institution
Provider Business Practice Location Address Details
Address
101 Hospital Rd
City
State
Zip
11772-4870
Phone Number
631-654-7100
Fax Number
person
Provider Business Mailing Address Details
Address
101 Hospital Rd
City
State
Zip
11772-4870
Phone Number
631-654-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
5004912 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AC5005854 (Maryland)
Definition
Definition to come...
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