Provider Demographics
NPI:1730313347
Name:SOLIZ, KATHERINE D (PT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:D
Last Name:SOLIZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11943
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4943
Mailing Address - Country:US
Mailing Address - Phone:914-771-6666
Mailing Address - Fax:
Practice Address - Street 1:1915-25 CENTRAL PARK AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2949
Practice Address - Country:US
Practice Address - Phone:914-771-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016013-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist