Healthcare Provider Details

I. General information

NPI: 1609868223
Provider Name (Legal Business Name): CATALINA ALEGRE, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 S JEFFERSON AVE
CATSKILL NY
12414-2108
US

IV. Provider business mailing address

6805 ROUTE 9 SUITE 31
RHINEBECK NY
12572-1148
US

V. Phone/Fax

Practice location:
  • Phone: 518-943-2557
  • Fax:
Mailing address:
  • Phone: 845-876-3868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number146346
License Number StateNY

VIII. Authorized Official

Name: DR. CATALINA ALEGRE
Title or Position: OWNER
Credential: M.D.
Phone: 518-943-2557