Provider Demographics
NPI:1891778924
Name:SANTORO, CATHERINE N (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:N
Last Name:SANTORO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5904
Mailing Address - Country:US
Mailing Address - Phone:201-342-5511
Mailing Address - Fax:201-342-5532
Practice Address - Street 1:431 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5904
Practice Address - Country:US
Practice Address - Phone:201-342-5511
Practice Address - Fax:201-342-5532
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00235800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ198114OtherMEDICARE PTAN
NJ222427662OtherTIN
NJ198114OtherMEDICARE PTAN