MEDICARE: DANA CALABRESE FOX FNP

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	363L00000X	Nurse Practitioner	F342695-1	NY

General Provider Information

NPI Number	:	1750884805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA CALABRESE FOX FNP

Provider Business Mailing Address
First Line	:	8 MEDICAL PARK DR STE 100
Second Line	:
City	:	MALTA
State	:	NY
Zip	:	12020-5050
Country	:	US
Telephone Number	:	518-289-2775
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 MEDICAL PARK DR STE 100
Second Line	:
City	:	MALTA
State	:	NY
Zip	:	12020-5050
Country	:	US
Telephone Number	:	518-289-2775
Fax Number	:

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

Provider Enumeration Date	:	03/15/2018
Last Update Date	:	10/14/2022

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Directions to “ DANA CALABRESE FOX FNP” Practice Location

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