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NPI Code Detail

MEDICARE: DENISE ANN KALAFATIS

MEDICARE: DENISE ANN KALAFATIS
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
1235Z00000XSpeech-Language Pathologist006413NY

General Provider Information

NPI Number : 1366751679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ANN KALAFATIS
Provider Business Mailing Address
First Line : 42 ROXEN RD
Second Line :
City : ROCKVILLE CENTRE
State : NY
Zip : 11570-1513
Country : US
Telephone Number : 516-536-4352
Fax Number :
Provider Business Practice Location Address
First Line : 3555 223RD ST
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-2236
Country : US
Telephone Number : 718-428-5370
Fax Number : 718-428-5462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 10/04/2010

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Directions to “ DENISE ANN KALAFATIS ” Practice Location

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