Healthcare Provider Details

I. General information

NPI: 1982739926
Provider Name (Legal Business Name): ANNMARIE CALABRESE RN AND LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 WESTERN AVE
ALBANY NY
12205
US

IV. Provider business mailing address

4 CRESTWOOD COURT
ALBANY NY
12208
US

V. Phone/Fax

Practice location:
  • Phone: 518-431-1650
  • Fax: 518-447-0429
Mailing address:
  • Phone: 518-431-1650
  • Fax: 518-447-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number305663
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number018461
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: