MS. CATHLEEN CANNATA


Address: 1719 N Ocean Ave, Suite D, Medford, NY 11763-2669
Phone: 6317585555

MS. CATHLEEN CANNATA (NPI# 1639225329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639225329
Entity Type Individual
Full Name MS. CATHLEEN CANNATA
Credential NP
Practice Address 1719 N Ocean Ave
Suite D
Medford
NY 11763-2669
Mailing Address 600 Suffolk Ave
Suite C
Brentwood
NY 11717-4311
Practice Telephone 6317585555
Mailing Telephone 6312733712
Enumeration Date 2007-01-26
Last Update Date 2009-07-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
494100-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1719 N OCEAN AVE
SUITE D
City MEDFORD
State NY
Zip Code 11763-2669

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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