Healthcare Provider Details

I. General information

NPI: 1710222013
Provider Name (Legal Business Name): CATARINA MARISA FIGUEIREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 WALLACE AVE
MOUNT VERNON NY
10552-3222
US

IV. Provider business mailing address

117 WALLACE AVE
MOUNT VERNON NY
10552-3222
US

V. Phone/Fax

Practice location:
  • Phone: 914-843-9720
  • Fax:
Mailing address:
  • Phone: 914-843-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number006487
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: