Provider Demographics
NPI:1427435957
Name:LEVINE, CATHERINE MARY (COTA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARY
Last Name:LEVINE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:FODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2292 SAUNDERS SETTLEMENT ROAD
Mailing Address - Street 2:NIAGARA WHEATFIELD HIGH SCHOOL
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132
Mailing Address - Country:US
Mailing Address - Phone:716-215-3100
Mailing Address - Fax:716-215-3125
Practice Address - Street 1:355 HARLEM RD
Practice Address - Street 2:ERIE 1 BOCES
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1892
Practice Address - Country:US
Practice Address - Phone:716-821-7006
Practice Address - Fax:716-821-7218
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002402-01224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant