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General NPI Number Information
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NPI Number | 1265501480
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Entity Type | Organization
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Legal Business Name | PHILLIP J CALENDA MD 2 PC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1075 CENTRAL PARK AVE STE 303A
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City | SCARSDALE
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State | NY
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Zip | 10583-3244
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Country | US
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Telephone | 914-725-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 CENTRAL PARK AVE STE 303A
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City | SCARSDALE
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State | NY
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Zip | 10583-3244
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Country | US
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Telephone | 914-725-4500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILLIP J CALENDA
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Credential | M. D.
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Telephone | 914-725-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 200759
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License Number State | NY
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