Provider Demographics
NPI:1972750867
Name:CATANIA, PAULINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:
Last Name:CATANIA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 PURITAN DR
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1043
Mailing Address - Country:US
Mailing Address - Phone:631-924-3084
Mailing Address - Fax:
Practice Address - Street 1:559 PURITAN DR
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-1043
Practice Address - Country:US
Practice Address - Phone:631-924-3084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181285164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse