Provider Demographics
NPI:1992156350
Name:CATAPANO, CAROLE ANN (RPH)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:CATAPANO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WHITE BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7719
Mailing Address - Country:US
Mailing Address - Phone:631-942-4057
Mailing Address - Fax:
Practice Address - Street 1:27 WHITE BIRCH DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-7719
Practice Address - Country:US
Practice Address - Phone:631-942-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035989-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist