Provider Demographics
NPI:1447570833
Name:COVALCIC, CATALINA (MD)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:COVALCIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 FIRST AVENUE
Mailing Address - Street 2:APT 518
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:917-399-3599
Mailing Address - Fax:
Practice Address - Street 1:1955 1ST AVE
Practice Address - Street 2:APT 518
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6408
Practice Address - Country:US
Practice Address - Phone:917-399-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program