Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Deriso

Individual provider Specialist · NPI 1154780096

Kathryn Deriso is a Specialist in Huntington, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

28 Nathan Hale Dr Apt 73A
Huntington, NY 11743-7035
Phone: (631) 926-2199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1084415 (NY)

Record details

NPI number1154780096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2016
Last updated in NPPESFebruary 21, 2016

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