Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A169270 | NY |
NPI | 1174633903 |
---|---|
Provider Name | Dr. Kathryn Elise Calabria |
First Address | Brookhaven, NY 11719-9596 |
Second Address | Garden City, NY 11530-4892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 03/08/2009 |