Provider Demographics
NPI:1457616963
Name:KATSETOS, JOHN FRANCIS (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:KATSETOS
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Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:575 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:212-746-7576
Mailing Address - Fax:212-746-8383
Practice Address - Street 1:520 E 70TH ST
Practice Address - Street 2:STARR 341
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9800
Practice Address - Country:US
Practice Address - Phone:212-746-7576
Practice Address - Fax:212-746-8383
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY015684363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant