Basic Information
Provider Information
NPI: 1144355264
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUNDERS-ORTIZ
FirstName: CATHERINE
MiddleName: A.
NamePrefix: MRS.
NameSuffix:  
Credential: PT ASSISTANT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 90-44 210TH STREET
Address2:  
City: QUEENS VILLAGE
State: NY
PostalCode: 11428
CountryCode: US
TelephoneNumber: 2129475770
FaxNumber:  
Practice Location
Address1: 51-40 59TH STREET
Address2:  
City: WOODSIDE
State: NY
PostalCode: 11377
CountryCode: US
TelephoneNumber: 7186392931
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/22/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225200000X002451-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant 

No ID Information.


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