Provider Demographics
NPI:1801832340
Name:ANASTASIO, CATHERINE E (PT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:ANASTASIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7410 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1942
Mailing Address - Country:US
Mailing Address - Phone:718-745-8282
Mailing Address - Fax:718-745-4394
Practice Address - Street 1:7410 11TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1942
Practice Address - Country:US
Practice Address - Phone:718-745-8282
Practice Address - Fax:718-745-4394
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005631225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ52291Medicare ID - Type UnspecifiedPHYSICAL THERAPIST