1427435957 NPI number — MRS. CATHERINE MARY LEVINE C.O.T.A.

Table of content: MRS. CATHERINE MARY LEVINE C.O.T.A. (NPI 1427435957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427435957 NPI number — MRS. CATHERINE MARY LEVINE C.O.T.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEVINE
Provider First Name:
CATHERINE
Provider Middle Name:
MARY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
C.O.T.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FODEN
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427435957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2292 SAUNDERS SETTLEMENT ROAD
Provider Second Line Business Mailing Address:
NIAGARA WHEATFIELD HIGH SCHOOL
Provider Business Mailing Address City Name:
SANBORN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-215-3100
Provider Business Mailing Address Fax Number:
716-215-3125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 HARLEM RD
Provider Second Line Business Practice Location Address:
ERIE 1 BOCES
Provider Business Practice Location Address City Name:
WEST SENECA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14224-1892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-821-7006
Provider Business Practice Location Address Fax Number:
716-821-7218
Provider Enumeration Date:
05/05/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  002402-01 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)