MEDICARE: PHILLIP J CALENDA MD 2 PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	200759	NY

General Provider Information

NPI Number	:	1265501480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILLIP J CALENDA MD 2 PC

Provider Business Mailing Address
First Line	:	1075 CENTRAL PARK AVE STE 303A
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3244
Country	:	US
Telephone Number	:	914-725-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 CENTRAL PARK AVE STE 303A
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3244
Country	:	US
Telephone Number	:	914-725-4500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHILLIP J CALENDA
Credential	:	M. D.
Telephone Number	:	914-725-4500

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/22/2020

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