Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 105965 | NY |
N | 207VX0201X | Gynecologic Oncologist | 105965 | NY |
NPI | 1356422190 |
---|---|
Provider Name | Dr. Anthony M Calanog |
First Address | New York, NY 10021-4156 |
Second Address | New York, NY 10021-4156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B17590 | (02) | NY |