Healthcare Provider Details

I. General information

NPI: 1013166099
Provider Name (Legal Business Name): DOLORES CATALFUMO L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6581 HYLAN BLVD
STATEN ISLAND NY
10309-3830
US

IV. Provider business mailing address

6581 HYLAN BLVD
STATEN ISLAND NY
10309-3830
US

V. Phone/Fax

Practice location:
  • Phone: 718-317-2842
  • Fax: 718-317-2830
Mailing address:
  • Phone: 718-317-2842
  • Fax: 718-317-2830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR065086
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: