Provider Demographics
NPI:1124434667
Name:CAIATI, CHRISTINE
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:CAIATI
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 1:7 ANN ROSE ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3707
Mailing Address - Country:US
Mailing Address - Phone:516-795-5626
Mailing Address - Fax:
Practice Address - Street 1:7 ANN ROSE ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3707
Practice Address - Country:US
Practice Address - Phone:516-795-5626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-04
Last Update Date:2014-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY979698001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist