Healthcare Provider Details

I. General information

NPI: 1669753083
Provider Name (Legal Business Name): MARIE CALI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FORDHAM PLZ SUITE 232
BRONX NY
10458-5871
US

IV. Provider business mailing address

1 FORDHAM PLZ SUITE 232
BRONX NY
10458-5871
US

V. Phone/Fax

Practice location:
  • Phone: 718-365-4044
  • Fax: 718-563-0715
Mailing address:
  • Phone: 718-365-4044
  • Fax: 718-563-0715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number226099-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: