MEDICARE: ADAM CALDERONE DDS

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	1223G0001X	General Practice Dentistry	052256	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	052256	OTHER	NY	DELTA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588746077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM CALDERONE DDS

Provider Business Mailing Address
First Line	:	2060 LEXINGTON AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	10035
Country	:	US
Telephone Number	:	212-996-5996
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 LEXINGTON AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	10035
Country	:	US
Telephone Number	:	212-996-5996
Fax Number	:

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/07/2023

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Directions to “ ADAM CALDERONE DDS” Practice Location

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