Provider Demographics
NPI:1558629428
Name:URANECK, KATHERINE IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:IRENE
Last Name:URANECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23303 BAY AVE
Mailing Address - Street 2:FL. 1
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1249
Mailing Address - Country:US
Mailing Address - Phone:212-831-1380
Mailing Address - Fax:
Practice Address - Street 1:23303 BAY AVE
Practice Address - Street 2:FL. 1
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11363-1249
Practice Address - Country:US
Practice Address - Phone:212-831-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173943207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine