Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 123125 | NY |
NPI | 1003803727 |
---|---|
Provider Name | Joe Francis Kalangie |
First Address | Brooklyn, NY 11209-1483 |
Second Address | Brooklyn, NY 11209-1483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00743444 | (05) | NY |
B78799 | (02) |