National Provider Identifier

Katie Lee Pretko

Katie Lee Pretko is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-6590.

NPI 1720342710Fairport, NYSpecialist

Profile Overview

NPI
1720342710
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 25, 2012
Last Updated
June 25, 2012

Practice Location

  • 6 N Main St
  • Fairport, NY 14450-1524

Phone: (585) 377-6590

Mailing Address

  • 7384 N Bergen RD
  • Bergen, NY 14416-9509

Specialties

  • Specialist (174400000X)
Full Record
NPI
1720342710
Entity Type
Individual
Last Name
Pretko
First Name
Katie
Middle Name
Lee
Mailing Street Address
7384 N Bergen RD
Mailing City
Bergen
Mailing State
NY
Mailing ZIP Code
14416-9509
Mailing Country
US
Mailing Phone
(585) 734-0354
Practice Street Address
6 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1524
Practice Country
US
Practice Phone
(585) 377-6590
Enumeration Date
June 25, 2012
Last Updated
June 25, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)