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Individual

JOSE CACATIAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608
Mailing address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
111173
NY

Other

Enumeration date
06/18/2006
Last updated
07/08/2007
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