Individual
IVANIA PERALTA KATTENGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-6837
(212) 923-8500
(212) 923-6718
Mailing address
400 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-6837
(212) 923-8500
(212) 923-6718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31386501
NY
208000000X
Pediatrics Physician
M0862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07878164
—
NY
05
—
177112301
—
TX
Enumeration date
10/16/2006
Last updated
11/16/2025
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