Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 223930 | NY |
NPI | 1093730269 |
---|---|
Provider Name | Dr. Catherine Nicastri |
First Address | Stony Brook, NY 11790 |
Second Address | East Setauket, NY 11733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02470877 | (05) | NY |
183AB1 | EMPIRE BC.BS (01) | NY |
7546455 | AETNA (01) | NY |
I01938 | (02) | NY |