Provider Demographics
NPI:1013743236
Name:LENGYEL, KATARINA ELISE
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:ELISE
Last Name:LENGYEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 SOUTHVIEW TER N
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2413
Mailing Address - Country:US
Mailing Address - Phone:732-788-7379
Mailing Address - Fax:
Practice Address - Street 1:555 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4178
Practice Address - Country:US
Practice Address - Phone:732-747-3077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist