Healthcare Provider Details

I. General information

NPI: 1396834347
Provider Name (Legal Business Name): DONALD J CALLY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GARDINER ST
CATSKILL NY
12414-1004
US

IV. Provider business mailing address

40 FARVIEW RD
HOPEWELL JCT NY
12533-6819
US

V. Phone/Fax

Practice location:
  • Phone: 518-943-4930
  • Fax:
Mailing address:
  • Phone: 845-227-8493
  • Fax: 845-227-4934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number181387-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: