Healthcare Provider Details

I. General information

NPI: 1770547747
Provider Name (Legal Business Name): LINDA M CATALUSCI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 LAKESIDE RD SUITE 2
NEWBURGH NY
12550-5758
US

IV. Provider business mailing address

239 LAKESIDE RD SUITE 2
NEWBURGH NY
12550-5758
US

V. Phone/Fax

Practice location:
  • Phone: 845-566-4303
  • Fax: 845-566-4255
Mailing address:
  • Phone: 845-566-4303
  • Fax: 845-566-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number11371
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: