Provider Demographics
NPI:1376963140
Name:STEPTO, CATHERINE
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:STEPTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:MOMENEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TVI
Mailing Address - Street 1:468 CLASSON AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2501
Mailing Address - Country:US
Mailing Address - Phone:917-392-1599
Mailing Address - Fax:
Practice Address - Street 1:468 CLASSON AVE
Practice Address - Street 2:APT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2501
Practice Address - Country:US
Practice Address - Phone:917-392-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1230735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist