Provider Demographics
NPI:1932284239
Name:CATANESE, DOMINIC J (DPM)
Entity Type:Individual
Prefix:
First Name:DOMINIC
Middle Name:J
Last Name:CATANESE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1535
Mailing Address - Country:US
Mailing Address - Phone:718-405-8430
Mailing Address - Fax:718-405-8428
Practice Address - Street 1:ORTHOPAEDIC SURGERY
Practice Address - Street 2:1695 EASTCHESTER ROAD 2ND FL.
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005200213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist