Provider Demographics
NPI:1376081562
Name:SCHIRALDI-CATTAU, MARIE (LAC)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:SCHIRALDI-CATTAU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HARRISON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3150
Mailing Address - Country:US
Mailing Address - Phone:914-341-2888
Mailing Address - Fax:
Practice Address - Street 1:1600 HARRISON AVE STE 203
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3150
Practice Address - Country:US
Practice Address - Phone:914-341-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5707171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist