Provider Demographics
NPI:1750417556
Name:GULATI, CATHERINE PHILLIPS (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PHILLIPS
Last Name:GULATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BROADVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-4145
Mailing Address - Country:US
Mailing Address - Phone:914-636-5740
Mailing Address - Fax:914-235-0418
Practice Address - Street 1:250 BROADVIEW AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-4145
Practice Address - Country:US
Practice Address - Phone:914-636-5740
Practice Address - Fax:914-235-0418
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147541-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0017844OtherGHI
NY01199733Medicaid
NY0017844OtherGHI
NY29F881Medicare ID - Type Unspecified