Provider Demographics
NPI:1588205918
Name:CATALANO, EHRIN RENE
Entity Type:Individual
Prefix:
First Name:EHRIN
Middle Name:RENE
Last Name:CATALANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FOXRUN CT
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-1385
Mailing Address - Country:US
Mailing Address - Phone:631-827-8385
Mailing Address - Fax:
Practice Address - Street 1:1 FOXRUN CT
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-1385
Practice Address - Country:US
Practice Address - Phone:631-827-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist