Provider Demographics
NPI:1376005025
Name:AMODEO, CATERINA MARIA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:CATERINA
Middle Name:MARIA
Last Name:AMODEO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GLEN COVE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2818
Mailing Address - Country:US
Mailing Address - Phone:516-609-2000
Mailing Address - Fax:
Practice Address - Street 1:64 OAKLEY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3116
Practice Address - Country:US
Practice Address - Phone:516-476-9902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1107296171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist