Provider Demographics
NPI:1861085995
Name:DANNA, CATHY (MSED)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:DANNA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4204
Mailing Address - Country:US
Mailing Address - Phone:347-207-4873
Mailing Address - Fax:
Practice Address - Street 1:6709 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4204
Practice Address - Country:US
Practice Address - Phone:347-207-4873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist