Provider Demographics
NPI:1407410921
Name:DR. KATRINA FUREY, MD, LLC
Entity Type:Organization
Organization Name:DR. KATRINA FUREY, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-824-3797
Mailing Address - Street 1:96 WINTERHILL RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-1939
Mailing Address - Country:US
Mailing Address - Phone:203-824-3797
Mailing Address - Fax:
Practice Address - Street 1:147 DURHAM RD STE 12ANE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2675
Practice Address - Country:US
Practice Address - Phone:203-350-8305
Practice Address - Fax:203-350-8310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty