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General NPI Number Information
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NPI Number | 1366783607
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Entity Type | Individual
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Provider Name | CATHERINE DURANTE DMD, MD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 325 MIDDLE COUNTRY RD STE 1
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City | SELDEN
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State | NY
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Zip | 11784-3314
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Country | US
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Telephone | 516-314-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N WELLWOOD AVE STE D
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City | LINDENHURST
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State | NY
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Zip | 11757
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Country | US
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Telephone | 631-225-1900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 061647
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License Number State | NY
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