Most Relevant Information
Provider Data
| NPI Number: | 1003219569 |
| Provider Name: | KATRINA EDWARDS CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 22196 |
Most Important Dates
| Enumeration Date: | 09/29/2014 |
| Last Updated: | 09/29/2014 |
Provider Practice Location
1600 MACOMBS RD
BRONX
NY
104522016
Practice Location Phone/Fax
| Phone: | 7182993300 |
| Fax: |
Provider Mailing Location
1600 MACOMBS RD
BRONX
NY
104522016
Provider Mailing Phone/Fax
| Phone: | 7182993300 |
| Fax: |