Provider Demographics
NPI:1790818045
Name:CATALDO, DONNALEE (NP)
Entity Type:Individual
Prefix:
First Name:DONNALEE
Middle Name:
Last Name:CATALDO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROWN ST
Mailing Address - Street 2:4TH FLOOR - CREDENTIALING
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3617
Mailing Address - Country:US
Mailing Address - Phone:914-734-8858
Mailing Address - Fax:914-734-8745
Practice Address - Street 1:327 FRONT ST
Practice Address - Street 2:HUDSON RIVER HEALTHCARE INC.
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-1515
Practice Address - Country:US
Practice Address - Phone:631-477-2678
Practice Address - Fax:631-477-3022
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300877363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473038Medicaid