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

TaxonomyCodeLicense
Specialist Primary 174400000X3499994 (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.