NPI

Katrina M Agtuca

NPI 1831561471

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2015-10-22
Last updated
2019-03-29

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Specialties

Licenses

License NY
037716-1

Location

Practice location
7 Grandview Ln
City
Smithtown NY
Postal code
11787-4231
Phone
(631) 987-9208

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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