MEDICARE: DINO KATTATO CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	RN710589	GA
2	367500000X	Certified Registered Nurse Anesthetist	APRN11044962	FL

General Provider Information

NPI Number	:	1356591515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINO KATTATO CRNA

Provider Business Mailing Address
First Line	:	1062 GRANT RD
Second Line	:
City	:	COLD BROOK
State	:	NY
Zip	:	13324-2622
Country	:	US
Telephone Number	:	315-292-3435
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 EAST MAIN STREET, SUITE 200
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30114
Country	:	US
Telephone Number	:	808-408-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	03/04/2026

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Directions to “ DINO KATTATO CRNA” Practice Location

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