Provider Demographics
NPI:1891928461
Name:KATH MEDICAL PC
Entity Type:Organization
Organization Name:KATH MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SENDYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:7185-925-3284
Mailing Address - Street 1:10917 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2998
Mailing Address - Country:US
Mailing Address - Phone:718-592-5284
Mailing Address - Fax:
Practice Address - Street 1:10917 46TH AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2998
Practice Address - Country:US
Practice Address - Phone:718-592-5284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation