Provider Demographics
NPI:1700944667
Name:CATALANO, PHILIP S (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:S
Last Name:CATALANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:AVERILL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12018-2528
Mailing Address - Country:US
Mailing Address - Phone:518-674-5272
Mailing Address - Fax:518-674-5920
Practice Address - Street 1:36 SUNSET RD
Practice Address - Street 2:
Practice Address - City:AVERILL PARK
Practice Address - State:NY
Practice Address - Zip Code:12018-2528
Practice Address - Country:US
Practice Address - Phone:518-674-5272
Practice Address - Fax:518-674-5920
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001958111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician