Individual
MISS CATHERINE BRIDGET MOCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
535 E 119TH ST, NEW YORK, NY 10035-4433
(212) 860-5868
Mailing address
290 OLTMANN RD, EAST MEADOW, NY 11554-3313
(516) 987-4340
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
014215
NY
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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