Individual
TARA MARIE CATANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS ROAD, HSC LEVEL 4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
HSC LEVEL 4, ROOM 120, 101 NICOLLS ROAD, STONY BROOK, NY 11794-8460
(631) 444-7955
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
039788
CT
2085R0202X
Diagnostic Radiology Physician
Primary
333679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001397886
—
CT
Enumeration date
10/17/2005
Last updated
07/10/2025
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