Provider Demographics
NPI:1376099978
Name:KATHERINE GARDEN
Entity Type:Organization
Organization Name:KATHERINE GARDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-674-5269
Mailing Address - Street 1:26 FIRST STREET
Mailing Address - Street 2:#8066
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2234
Mailing Address - Country:US
Mailing Address - Phone:718-674-5269
Mailing Address - Fax:
Practice Address - Street 1:26 FIRST ST
Practice Address - Street 2:#8066
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-7500
Practice Address - Country:US
Practice Address - Phone:718-674-5269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management