Healthcare Provider Details

I. General information

NPI: 1528255999
Provider Name (Legal Business Name): BRIANA LYNN CALORE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 09/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE ATWELL RD
COOPERSTOWN NY
13326
US

IV. Provider business mailing address

PO BOX 725
COOPERSTOWN NY
13326
US

V. Phone/Fax

Practice location:
  • Phone: 607-547-3468
  • Fax: 607-547-6553
Mailing address:
  • Phone: 607-547-3468
  • Fax: 607-547-6553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA98683
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number256592
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: