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NPI Code Detail

MEDICARE: MS. LYNN A CATALDO P.T.

MEDICARE: MS. LYNN A CATALDO P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist013609-1NY

General Provider Information

NPI Number : 1134196405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN A CATALDO P.T.
Provider Business Mailing Address
First Line : 9490 MAIN RD
Second Line : P.O. BOX 98
City : EAST MARION
State : NY
Zip : 11939-1513
Country : US
Telephone Number : 631-477-0824
Fax Number :
Provider Business Practice Location Address
First Line : 57190 MAIN RD
Second Line :
City : SOUTHOLD
State : NY
Zip : 11971-4750
Country : US
Telephone Number : 631-765-3620
Fax Number : 631-765-0013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2006
Last Update Date : 07/08/2007

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