Provider Demographics
NPI:1518200542
Name:CATALANOTTI, ANTHONY DOMINICK (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:DOMINICK
Last Name:CATALANOTTI
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 DEVOE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-3845
Mailing Address - Country:US
Mailing Address - Phone:917-817-4531
Mailing Address - Fax:
Practice Address - Street 1:241 DEVOE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3845
Practice Address - Country:US
Practice Address - Phone:917-817-4531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022011-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist