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NPI Code Detail

MEDICARE: JEANNINE CATALANO LCSW

MEDICARE: JEANNINE CATALANO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR054765-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P759556OTHERNYOXFORD

General Provider Information

NPI Number : 1154489854
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNINE CATALANO LCSW
Provider Business Mailing Address
First Line : 34 ATLANTIC AVE
Second Line : SUITE 202
City : LYNBROOK
State : NY
Zip : 11563-3038
Country : US
Telephone Number : 516-528-0452
Fax Number : 516-528-0452
Provider Business Practice Location Address
First Line : 126 N FRANKLIN STREET
Second Line :
City : HEMPSTEAD
State : NY
Zip : 11550-1318
Country : US
Telephone Number : 516-528-0452
Fax Number : 516-528-0452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 10/07/2010

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Directions to “ JEANNINE CATALANO LCSW” Practice Location

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