Provider Demographics
NPI:1154485837
Name:DROPELA, KATHLEEN (CNM, NP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:DROPELA
Suffix:
Gender:F
Credentials:CNM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2319
Mailing Address - Country:US
Mailing Address - Phone:631-277-5800
Mailing Address - Fax:631-277-1936
Practice Address - Street 1:83 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2319
Practice Address - Country:US
Practice Address - Phone:631-277-5800
Practice Address - Fax:631-277-1936
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF360404-1363L00000X, 363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology