Individual provider · Type 1 NPI
Catherine J. Penaloza
Specialist · Coram, NY
NPI number
1295622702
Active
Practice location
6 Winterling St
Coram, NY 11727-2217
Mailing address
35 Longwood Rd
Middle Island, NY 11953-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3499994 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1295622702
Catherine J. Penaloza's National Provider Identifier is 1295622702, issued on Jun 18, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coram, NY. The record was last updated on Jun 18, 2025.