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NPI Code Detail

MEDICARE: ELIZABETH CALABRESE

MEDICARE: ELIZABETH CALABRESE
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
1171M00000XCase Manager/Care Coordinator
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1699135764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CALABRESE
Provider Business Mailing Address
First Line : 815 BLOOMING GROVE TPKE STE 601
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-8138
Country : US
Telephone Number : 845-527-2089
Fax Number :
Provider Business Practice Location Address
First Line : 815 BLOOMING GROVE TPKE STE 601
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-8138
Country : US
Telephone Number : 845-527-2089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 06/13/2023

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Directions to “ ELIZABETH CALABRESE ” Practice Location

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