=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932003183
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CALVIN GARCIA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 N BROADWAY
-----------------------------------------------------
City | SLEEPY HOLLOW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10591-1020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-366-3000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5101 39TH AVE
-----------------------------------------------------
City | SUNNYSIDE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11104-1172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-898-8351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 160277
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------