Provider Demographics
NPI:1538499132
Name:CATALANO, DANIELLE NICOLE (PT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:CATALANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 AVENUE B
Mailing Address - Street 2:APT 3J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7407
Mailing Address - Country:US
Mailing Address - Phone:631-807-2488
Mailing Address - Fax:
Practice Address - Street 1:29 AVENUE B
Practice Address - Street 2:APT 3J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7407
Practice Address - Country:US
Practice Address - Phone:631-807-2488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist