Healthcare Provider Details

I. General information

NPI: 1043350200
Provider Name (Legal Business Name): JOSEPH A. CATANIA, DDS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 E GENESEE ST BLDG. C
FAYETTEVILLE NY
13066-1131
US

IV. Provider business mailing address

7000 E GENESEE ST BLDG. C
FAYETTEVILLE NY
13066-1131
US

V. Phone/Fax

Practice location:
  • Phone: 315-446-3360
  • Fax: 315-449-2534
Mailing address:
  • Phone: 315-446-3360
  • Fax: 315-449-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number037046
License Number StateNY

VIII. Authorized Official

Name: MRS. ROSE M. BAILEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 315-446-3360