Provider Demographics
NPI:1871698498
Name:CATALONE, ANDREW CASI JR (NPP, ANP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:CASI
Last Name:CATALONE
Suffix:JR
Gender:M
Credentials:NPP, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 GILLESPIE RD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4825
Mailing Address - Country:US
Mailing Address - Phone:315-592-2547
Mailing Address - Fax:315-342-2885
Practice Address - Street 1:74 BUNNER ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126
Practice Address - Country:US
Practice Address - Phone:315-326-4117
Practice Address - Fax:315-342-2885
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303888363LA2200X
NYF400935363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420800Medicaid
NYRB1539Medicare PIN
NYRA9886Medicare ID - Type Unspecified
NYQ65326Medicare UPIN
NY01420800Medicaid