Provider Demographics
NPI:1124191879
Name:CATALANO, LORRAINE (MD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:CATALANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 COMMACK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3457
Mailing Address - Country:US
Mailing Address - Phone:631-499-8282
Mailing Address - Fax:631-462-5462
Practice Address - Street 1:154 COMMACK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3457
Practice Address - Country:US
Practice Address - Phone:631-499-8282
Practice Address - Fax:631-462-5462
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY202197208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01821136Medicaid
456291OtherEMPIRE BLUE CROSS
P644019OtherOXFORD