Organization
A.G. KALAFATIC, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO G KALAFATIC M.D. (OWNER)
(516) 605-1975
Entity
Organization
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 605-1975
(516) 605-1977
Mailing address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 605-1975
(516) 605-1977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
135801-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16A171
MEDICARE PROVIDER NUMBER
NY
Enumeration date
10/07/2010
Last updated
10/07/2010
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