Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 208833 | NY |
N | 111NI0900X | Internist | 208833 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 208833 | NY |
NPI | 1194707372 |
---|---|
Provider Name | Rebecca Calabrese |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Buffalo, NY 14215-3098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 16/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02230142 | (05) | NY |
H52240 | (02) | NY |