# ST. CATHERINE'S BONE DENSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770765414
- **Authorized official:** MARY DONATO (DIRECTOR,PHYSICIAN BILLING)
- **Authorized official phone:** (516) 629-2479

## Contact information

- **Practice address:** 50 ROUTE 25A, SMITHTOWN, NY 11787-1348
- **Practice address phone:** (516) 629-2469
- **Practice address fax:** (516) 629-2027
- **Mailing address:** PO BOX 1185, PORT WASHINGTON, NY 11050-7185
- **Mailing address phone:** (516) 629-2469
- **Mailing address fax:** (516) 629-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/05/2007