Basic Information
Provider Information
NPI: 1609868223
EntityType: 2
ReplacementNPI:  
OrganizationName: CATALINA ALEGRE, M.D.
LastName:  
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Mailing Information
Address1: 6805 ROUTE 9
Address2: SUITE 31
City: RHINEBECK
State: NY
PostalCode: 125721148
CountryCode: US
TelephoneNumber: 8458763868
FaxNumber:  
Practice Location
Address1: 76 S JEFFERSON AVE
Address2:  
City: CATSKILL
State: NY
PostalCode: 124142108
CountryCode: US
TelephoneNumber: 5189432557
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2005
LastUpdateDate: 12/22/2010
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AuthorizedOfficialLastName: ALEGRE
AuthorizedOfficialFirstName: CATALINA
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5189432557
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X146346NYY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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