Provider Demographics
NPI:1043572944
Name:CSILLAG FARKASH, KATHY (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:CSILLAG FARKASH
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:CSILLAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 LANGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2318
Mailing Address - Country:US
Mailing Address - Phone:516-565-9550
Mailing Address - Fax:
Practice Address - Street 1:445 LANGLEY AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2318
Practice Address - Country:US
Practice Address - Phone:516-565-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1281648252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency