Provider Demographics
NPI:1710248646
Name:LADOLCETTA, CATHERINE (MS SPED)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:LADOLCETTA
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 RENSSELAER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2114
Mailing Address - Country:US
Mailing Address - Phone:646-706-6432
Mailing Address - Fax:
Practice Address - Street 1:1066 RENSSELAER AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2114
Practice Address - Country:US
Practice Address - Phone:646-706-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist