Provider Demographics
NPI:1609087063
Name:CATALANO, JOYCE MARIE (OTRL)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARIE
Last Name:CATALANO
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2156
Mailing Address - Country:US
Mailing Address - Phone:631-473-0656
Mailing Address - Fax:
Practice Address - Street 1:12 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2156
Practice Address - Country:US
Practice Address - Phone:631-473-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005366-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist