Provider Demographics
NPI:1528099306
Name:MAH, KATHERINE S (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:S
Last Name:MAH
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S 2ND ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-9110
Mailing Address - Country:US
Mailing Address - Phone:718-486-0339
Mailing Address - Fax:
Practice Address - Street 1:1355 84TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3030
Practice Address - Country:US
Practice Address - Phone:718-283-6588
Practice Address - Fax:718-283-6580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS