Provider Demographics
NPI:1386718914
Name:PAGLIUCA, CATHERINE KELLY (REGISTERED PROFESSIO)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:KELLY
Last Name:PAGLIUCA
Suffix:
Gender:F
Credentials:REGISTERED PROFESSIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2059 TENBROECK AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-892-7688
Mailing Address - Fax:
Practice Address - Street 1:122 EAST 23 STREET
Practice Address - Street 2:UNITED CEREBRAL PALSY OF NEW YORK CITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040
Practice Address - Country:US
Practice Address - Phone:212-677-7400
Practice Address - Fax:212-260-6894
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232501-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator