| Doctor Name: | MS. CATHLEEN MARY KNEIDL |
| NPI Number: | 1487703526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 005002-1 |
| Business Practice Address: | 2975 Westchester Ave Purchase, NY - 105772518 |
| Business Phone Number: | 9143283700 |
| Business Fax Number: | |
| Mailing Address: | 19 Bowling Ln, DEER PARK |
| State: | NY |
| Postal Code: | 117296707 |
| Phone Number: | 6312433373 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 03/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 005002-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |