MEDICARE: ADINA LUBA KALET M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	164863-1	NY

General Provider Information

NPI Number	:	1053431874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADINA LUBA KALET M.D.

Provider Business Mailing Address
First Line	:	382 8TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3605
Country	:	US
Telephone Number	:	718-499-6045
Fax Number	:	212-263-8234

Provider Business Practice Location Address
First Line	:	545 1ST AVE
Second Line	:	OLD BELLEVUE CD BUILDING 401
City	:	NEW YORK
State	:	NY
Zip	:	10016-6401
Country	:	US
Telephone Number	:	212-263-2126
Fax Number	:	212-263-8234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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Directions to “ ADINA LUBA KALET M.D.” Practice Location

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