Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 95401 | NY |
NPI | 1184655771 |
---|---|
Provider Name | Dr. Joseph Salvatore Calabrese I |
First Address | Hamburg, NY 14075-4752 |
Second Address | Hamburg, NY 14075-4752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 25/01/2011 |