Healthcare Provider Details

I. General information

NPI: 1518870781
Provider Name (Legal Business Name): DEANNA CALDERON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MORRIS ST
YONKERS NY
10705-1933
US

IV. Provider business mailing address

75 MORRIS ST
YONKERS NY
10705-1933
US

V. Phone/Fax

Practice location:
  • Phone: 914-376-8000
  • Fax:
Mailing address:
  • Phone: 914-376-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number977427-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: