Healthcare Provider Details

I. General information

NPI: 1497980171
Provider Name (Legal Business Name): CATHERINE SEKANSKY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2009
Last Update Date: 07/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 KINGS HWY STE B10
BROOKLYN NY
11234-2643
US

IV. Provider business mailing address

3131 KINGS HWY STE B10
BROOKLYN NY
11234-2643
US

V. Phone/Fax

Practice location:
  • Phone: 347-462-9292
  • Fax:
Mailing address:
  • Phone: 347-462-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number013266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: