Healthcare Provider Details

I. General information

NPI: 1003552985
Provider Name (Legal Business Name): CHRISTIE CATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 05/12/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET
MIDDLETOWN NY
10940
US

IV. Provider business mailing address

GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET
MIDDLETOWN NY
10940
US

V. Phone/Fax

Practice location:
  • Phone: 845-333-7342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: