Healthcare Provider Details

I. General information

NPI: 1508655010
Provider Name (Legal Business Name): CATHERINE THERESA OWSINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 ROUTE 211 E
MIDDLETOWN NY
10940-2270
US

IV. Provider business mailing address

470 ROUTE 211 E STE 2
MIDDLETOWN NY
10940-2250
US

V. Phone/Fax

Practice location:
  • Phone: 845-342-0426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number010694
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: