Physician Compare National (NPI:1992960538)

HEALTHCARE PROVIDER: WILLIAM EDWARD KALAFATIC M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1992960538
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800947235
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090625000259
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KALAFATIC
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1049 E 163RD ST
	Group Practice or individual's line 1 address
City	BRONX
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	104594510
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7185896210
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330399
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BARNABAS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y