Provider Demographics
NPI:1003122862
Name:BUZZETTA, CATHERINE (BILINGUAL SPECIAL ED)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:BUZZETTA
Suffix:
Gender:F
Credentials:BILINGUAL SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 74TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2401
Mailing Address - Country:US
Mailing Address - Phone:646-529-3822
Mailing Address - Fax:
Practice Address - Street 1:239 74TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2401
Practice Address - Country:US
Practice Address - Phone:646-529-3822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency