Provider Demographics
NPI:1285735720
Name:BUDMAN, CATHY L (MD)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:L
Last Name:BUDMAN
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 1:1615 NORTHERN BLVD SUITE 306
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-365-0587
Mailing Address - Fax:516-365-1909
Practice Address - Street 1:1615 NORTHERN BLVD SUITE 306
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-365-0587
Practice Address - Fax:516-365-1909
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1692922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01631507Medicaid
E62435Medicare UPIN
NY44346015Medicare PIN