KATHRYN DERISO

HUNTINGTON, NY
NPI1154780096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  1084415)
Enumeration Date2016-02-21
Last Update Date2016-02-21
Business Address
-- KATHRYN DERISO
28 NATHAN HALE DR APT 73A
HUNTINGTON, NY 11743-7035
Phone number: 631-926-2199
Mailing Address
-- KATHRYN DERISO
28 NATHAN HALE DR APT 73A
HUNTINGTON, NY 11743-7035
Phone number: 631-926-2199
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