Provider Demographics
NPI:1396876165
Name:CATALANO, LAUREEN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:
Last Name:CATALANO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 E MAIN ST BLDG D
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2835
Mailing Address - Country:US
Mailing Address - Phone:631-428-5320
Mailing Address - Fax:631-361-2153
Practice Address - Street 1:269 E MAIN ST
Practice Address - Street 2:SMITH HAVEN PEDIATRICS
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-361-2121
Practice Address - Fax:631-361-2153
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381217363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics