Provider Demographics
NPI:1740660190
Name:CATUY, JAZMINE
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:
Last Name:CATUY
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 1:11 MIDWOOD ST
Mailing Address - Street 2:APT E3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5052
Mailing Address - Country:US
Mailing Address - Phone:917-319-2730
Mailing Address - Fax:
Practice Address - Street 1:11 MIDWOOD ST
Practice Address - Street 2:APT E3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5052
Practice Address - Country:US
Practice Address - Phone:917-319-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY700167163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse