Healthcare Provider Details

I. General information

NPI: 1144355264
Provider Name (Legal Business Name): CATHERINE A. SAUNDERS-ORTIZ PT ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51-40 59TH STREET
WOODSIDE NY
11377
US

IV. Provider business mailing address

90-44 210TH STREET
QUEENS VILLAGE NY
11428
US

V. Phone/Fax

Practice location:
  • Phone: 718-639-2931
  • Fax:
Mailing address:
  • Phone: 212-947-5770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number002451-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: