Provider Demographics
NPI:1558683375
Name:CATALANO, ROSEANN LENA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROSEANN
Middle Name:LENA
Last Name:CATALANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 209TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1127
Mailing Address - Country:US
Mailing Address - Phone:718-423-4020
Mailing Address - Fax:
Practice Address - Street 1:4120 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5600
Practice Address - Country:US
Practice Address - Phone:516-520-8809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist