Provider Demographics
NPI:1215027404
Name:DROESCH, KATHLEEN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:DROESCH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:22 WATERVILLE RD
Mailing Address - Street 2:INVITRO SCIENCES, INC
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2066
Mailing Address - Country:US
Mailing Address - Phone:860-678-3428
Mailing Address - Fax:860-284-5444
Practice Address - Street 1:8 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3193
Practice Address - Country:US
Practice Address - Phone:631-752-0606
Practice Address - Fax:631-752-0623
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2012-01-09
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Provider Licenses
StateLicense IDTaxonomies
NY158316174400000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB11799Medicare UPIN