Provider Demographics
NPI:1477632313
Name:KATUS, ELI MARGRETHE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELI
Middle Name:MARGRETHE
Last Name:KATUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1035 OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1049
Mailing Address - Country:US
Mailing Address - Phone:516-922-5607
Mailing Address - Fax:516-624-8454
Practice Address - Street 1:1035 OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1049
Practice Address - Country:US
Practice Address - Phone:516-922-5607
Practice Address - Fax:516-624-8454
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1694162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry