Healthcare Provider Details

I. General information

NPI: 1851558407
Provider Name (Legal Business Name): DONALD J CALLY M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GARDINER ST
CATSKILL NY
12414-1004
US

IV. Provider business mailing address

2 GARDINER ST
CATSKILL NY
12414-1004
US

V. Phone/Fax

Practice location:
  • Phone: 518-469-8652
  • Fax: 845-227-4934
Mailing address:
  • Phone: 518-469-8652
  • 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: DR. DONALD JAMES CALLY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 518-469-8652