Healthcare Provider Details

I. General information

NPI: 1215152046
Provider Name (Legal Business Name): STEVEN CALVINO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E 38TH ST
NEW YORK NY
10016-2708
US

IV. Provider business mailing address

7101 SHORE RD APT. 6F
BROOKLYN NY
11209-1859
US

V. Phone/Fax

Practice location:
  • Phone: 212-201-1004
  • Fax:
Mailing address:
  • Phone: 917-566-1034
  • Fax: 718-680-0728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number232466
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: