Healthcare Provider Details

I. General information

NPI: 1639661861
Provider Name (Legal Business Name): MARIA FRANCISCA KALCHGRUBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 WEST 38TH STREET 6TH FLOOR
NEW YORK NY
10018
US

IV. Provider business mailing address

26 SPRING DELL APT 7D
RUTHERFORD NJ
07070-2071
US

V. Phone/Fax

Practice location:
  • Phone: 212-695-4564
  • Fax: 212-695-4561
Mailing address:
  • Phone: 845-325-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: