Individual
CATRISE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 57TH ST, NEW YORK, NY 10019-2303
(212) 262-6054
(212) 765-2831
Mailing address
1331 15TH ST, FORT LEE, NJ 07024-1914
(212) 262-6054
(212) 765-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102467100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03229141
—
MI
Enumeration date
04/27/2011
Last updated
04/27/2011
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