Provider Demographics
NPI:1356537047
Name:BIENENSTOCK, CATHY (PT, , LAC)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:
Last Name:BIENENSTOCK
Suffix:
Gender:F
Credentials:PT, , LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2122
Mailing Address - Country:US
Mailing Address - Phone:914-636-3453
Mailing Address - Fax:
Practice Address - Street 1:1353 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2122
Practice Address - Country:US
Practice Address - Phone:914-636-3453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007624225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist