Individual
MS. CATHERINE DEMJANENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2735 MAIN ST, NEWFANE, NY 14108-1203
(716) 778-0999
(716) 778-0998
Mailing address
2735 MAIN ST, NEWFANE, NY 14108-1203
(716) 778-0999
(716) 778-0998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013755-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000625730001
COMMUNITY BLUE
NY
01
—
9307986
IHA
NY
Enumeration date
06/07/2006
Last updated
10/20/2011
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