1942403209 NPI number — MS. KATHLEEN BARBARA FERREIRA M.A., M.S.ED.

Table of content: MS. KATHLEEN BARBARA FERREIRA M.A., M.S.ED. (NPI 1942403209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942403209 NPI number — MS. KATHLEEN BARBARA FERREIRA M.A., M.S.ED.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERREIRA
Provider First Name:
KATHLEEN
Provider Middle Name:
BARBARA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., M.S.ED.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FERREIRA
Provider Other First Name:
KATHLEEN
Provider Other Middle Name:
BARBARA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, MSED
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1942403209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 LAFAYETTE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST BABYLON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11704-5814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-255-4546
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 LAFAYETTE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST BABYLON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11704-5814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-539-9615
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2007

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: 174400000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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