Katia Isasi

Individual provider Active NPI Family Nurse Practitioner · Douglaston, NY

NPI 1396538005 · NPPES record last updated May 26, 2025

Key facts

NPI
1396538005
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F356753-01 (NY)
Practice address
24263 61St Ave # F-11
Douglaston, NY 11362-1958
Phone
(917) 530-7800
NPI assigned
May 26, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F356753-01NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F356753-01 NY Yes

Addresses

Primary practice location

24263 61St Ave # F-11
Douglaston, NY 11362-1958

Mailing address

24263 61St Ave # F-11
Douglaston, NY 11362-1958

Other providers in Douglaston, NY

All providers in Douglaston, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.