Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 016535 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 016535 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 016535 | NY |
N | 2251S0007X | Physical Therapist - Sports | 016535 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 016535 | NY |
NPI | 1316067887 |
---|---|
Provider Name | Edward Ross Calem |
First Address | River Edge, NJ 07661-1823 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |