Provider Demographics
NPI:1982833513
Name:CATELLO, CARYN ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:ELIZABETH
Last Name:CATELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CARYN
Other - Middle Name:ELIZABETH
Other - Last Name:ADDONIZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:14 CRABTREE LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-1525
Mailing Address - Country:US
Mailing Address - Phone:718-317-9139
Mailing Address - Fax:
Practice Address - Street 1:14 CRABTREE LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1525
Practice Address - Country:US
Practice Address - Phone:718-317-9139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
013773-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist