Provider Demographics
NPI:1720524259
Name:ROJAS, KATHYA E (FNP)
Entity Type:Individual
Prefix:
First Name:KATHYA
Middle Name:E
Last Name:ROJAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 95TH ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-6206
Mailing Address - Country:US
Mailing Address - Phone:718-803-8463
Mailing Address - Fax:718-205-4928
Practice Address - Street 1:4035 95TH ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-6206
Practice Address - Country:US
Practice Address - Phone:718-803-8463
Practice Address - Fax:718-205-4928
Is Sole Proprietor?:No
Enumeration Date:2017-01-08
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily