Provider Demographics
NPI:1588380158
Name:NUNEZ, CATHERINE JULIA
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JULIA
Last Name:NUNEZ
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 1:107 CARDINAL LANE-BLDG.#3
Mailing Address - Street 2:UNIT 1B
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751
Mailing Address - Country:US
Mailing Address - Phone:516-300-2184
Mailing Address - Fax:
Practice Address - Street 1:107 CARDINAL LANE-BLDG.#3
Practice Address - Street 2:UNIT 1B
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-1175
Practice Address - Country:US
Practice Address - Phone:516-300-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist