Individual
BELLA KATANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
(718) 334-0057
Mailing address
6120 GRAND CENTRAL PKWY APT A906, FOREST HILLS, NY 11375-1278
(917) 478-8698
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
11/04/2014
Last updated
09/08/2021
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