Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 1667251 | NY |
NPI | 1114996253 |
---|---|
Provider Name | Jospeh Calabro |
First Address | Poughkeepsie, NY 12601-1361 |
Second Address | Poughkeepsie, NY 12601-1361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 26/01/2011 |