Provider Demographics
NPI:1144258658
Name:ALTMAN, CATHY S (PT)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:S
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 EAST 74TH STREET
Mailing Address - Street 2:SUITE 1R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-988-4000
Mailing Address - Fax:212-988-4244
Practice Address - Street 1:159 EAST 74TH STREET
Practice Address - Street 2:SUITE 1R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-988-4000
Practice Address - Fax:212-988-4244
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ66411Medicare ID - Type Unspecified