Healthcare Provider Details

I. General information

NPI: 1225881568
Provider Name (Legal Business Name): CALMCATALOG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 MEACHAM AVE
ELMONT NY
11003-4717
US

IV. Provider business mailing address

770 MEACHAM AVE
ELMONT NY
11003-4717
US

V. Phone/Fax

Practice location:
  • Phone: 516-418-2551
  • Fax:
Mailing address:
  • Phone: 516-418-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE-IRVINE SEMEXANT
Title or Position: SOCIAL WORKER
Credential: LCSW
Phone: 516-418-2551