Provider Demographics
NPI:1356494363
Name:WARD, CATHY L (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:L
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W 70TH ST
Mailing Address - Street 2:#1-K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3504
Mailing Address - Country:US
Mailing Address - Phone:212-595-5501
Mailing Address - Fax:212-595-5510
Practice Address - Street 1:315 W 70TH ST
Practice Address - Street 2:#1-K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3504
Practice Address - Country:US
Practice Address - Phone:212-595-5501
Practice Address - Fax:212-595-5510
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY220691208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics