Healthcare Provider Details

I. General information

NPI: 1932003183
Provider Name (Legal Business Name): CALVIN GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N BROADWAY
SLEEPY HOLLOW NY
10591-1020
US

IV. Provider business mailing address

5101 39TH AVE
SUNNYSIDE NY
11104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 914-366-3000
  • Fax:
Mailing address:
  • Phone: 347-898-8351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number160277
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: