Provider Demographics
NPI:1093552044
Name:CATALANO, KAILEE
Entity type:Individual
Prefix:
First Name:KAILEE
Middle Name:
Last Name:CATALANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 SENECA ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2617
Mailing Address - Country:US
Mailing Address - Phone:315-363-2123
Mailing Address - Fax:315-363-2549
Practice Address - Street 1:603 SENECA ST
Practice Address - Street 2:SUITE #1
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2617
Practice Address - Country:US
Practice Address - Phone:315-363-2123
Practice Address - Fax:315-363-2549
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant