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NPI Code Detail

MEDICARE: DR. PETER D KALKANIS D.C.

MEDICARE: DR. PETER D KALKANIS D.C.
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
1111N00000XChiropractorX3224NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1X3224OTHERNYNYSREGISTRATION

General Provider Information

NPI Number : 1487859831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER D KALKANIS D.C.
Provider Business Mailing Address
First Line : 4226 209TH ST
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-2747
Country : US
Telephone Number : 718-204-0810
Fax Number :
Provider Business Practice Location Address
First Line : 3825 ASTORIA BLVD
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3608
Country : US
Telephone Number : 718-204-0810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PETER D KALKANIS D.C.” Practice Location

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