Provider Demographics
NPI:1538235940
Name:FLORENTINO NGITNGIT, KATHLEEN (PT)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:FLORENTINO NGITNGIT
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 1:13215A 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2001
Mailing Address - Country:US
Mailing Address - Phone:718-352-5200
Mailing Address - Fax:718-352-0105
Practice Address - Street 1:13215A 14TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2001
Practice Address - Country:US
Practice Address - Phone:718-352-5200
Practice Address - Fax:718-352-0105
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022357-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113521532OtherEMPIRE PLAN
NY2112290OtherFIRST HEALTH
NY2277931OtherUNITED HEALTHCARE
NYQP9931OtherEMPIRE BCBS
NY150379POtherHIP
NYNK2357OtherATLANTIS
NYP00003966OtherRAILROAD MEDICARE
NY113521532OtherPOMCO
NY5921065OtherCIGNA
NY113521532OtherMAGNACARE
NY113521532-02Other1199 NATIONAL BENEFIT FUN
NY120120000OtherUS DEPT OF LABOR ACS
NY6605205OtherGHI
NY02166223Medicaid
NY113521532OtherBEECH STREET
NY175167OtherELDERPLAN
NY113521532OtherHORIZON HEALTHCARE
NY000000108166OtherGHI HMO
NY05603HMedicare ID - Type UnspecifiedGHI MEDICARE