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NPI Code Detail

MEDICARE: KATHLEEN CALTABIANO

MEDICARE:   KATHLEEN  CALTABIANO
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
1171M00000XCase Manager/Care Coordinator559912111NY

General Provider Information

NPI Number : 1841551678
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN CALTABIANO
Provider Business Mailing Address
First Line : 6823A CLOVERDALE LN
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2760
Country : US
Telephone Number : 315-857-6032
Fax Number :
Provider Business Practice Location Address
First Line : 6823 CLOVERDALE LN
Second Line : APT A
City : OAKLAND GARDENS
State : NY
Zip : 11364-2760
Country : US
Telephone Number : 315-857-6032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2012
Last Update Date : 06/07/2012

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Directions to “ KATHLEEN CALTABIANO ” Practice Location

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