Provider Demographics
NPI:1780830851
Name:BAJWA, CATALINA ARMAS (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CATALINA
Middle Name:ARMAS
Last Name:BAJWA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:CATALINA
Other - Middle Name:ARMAS
Other - Last Name:BAJWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:1024 DAHILL RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1742
Mailing Address - Country:US
Mailing Address - Phone:718-258-1304
Mailing Address - Fax:
Practice Address - Street 1:1024 DAHILL RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1742
Practice Address - Country:US
Practice Address - Phone:718-258-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195510164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse