Provider Demographics
NPI:1326521451
Name:JOHN CATALINO LLC
Entity Type:Organization
Organization Name:JOHN CATALINO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CATALINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-392-2964
Mailing Address - Street 1:3435 HARLEM RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2021
Mailing Address - Country:US
Mailing Address - Phone:716-392-2964
Mailing Address - Fax:
Practice Address - Street 1:3435 HARLEM RD STE 3
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-2021
Practice Address - Country:US
Practice Address - Phone:716-392-2964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty