| Doctor Name: | KATRINA VENTURA |
| NPI Number: | 1396127742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 00128440 |
| Business Practice Address: | 327 Beach 19th St Far Rockaway, NY - 116914423 |
| Business Phone Number: | 9175005180 |
| Business Fax Number: | |
| Mailing Address: | 327 Beach 19th St, FAR ROCKAWAY |
| State: | NY |
| Postal Code: | 116914423 |
| Phone Number: | 9175005180 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00128440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |