Provider Demographics
NPI:1518207380
Name:DMOCHOWSKA, KATARZYNA (DPT)
Entity Type:Individual
Prefix:MISS
First Name:KATARZYNA
Middle Name:
Last Name:DMOCHOWSKA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ECKFORD STREET
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222
Mailing Address - Country:US
Mailing Address - Phone:646-208-2081
Mailing Address - Fax:
Practice Address - Street 1:31 NEW DORP LANE
Practice Address - Street 2:SUITE 1 LL
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2320
Practice Address - Country:US
Practice Address - Phone:718-370-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035688225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist