Healthcare Provider Details

I. General information

NPI: 1326142977
Provider Name (Legal Business Name): PAUL R CALAT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 W 44TH ST STE 600A
NEW YORK NY
10036-8105
US

IV. Provider business mailing address

36 W 44TH ST STE 600A
NEW YORK NY
10036-8105
US

V. Phone/Fax

Practice location:
  • Phone: 212-696-2677
  • Fax:
Mailing address:
  • Phone: 212-696-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number046890
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: