Individual
MS. MIRIAM THERESE CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
245 OLD COUNTRY RD, MELVILLE, NY 11747-2726
(631) 465-6300
Mailing address
245 OLD COUNTRY RD, MELVILLE, NY 11747-2726
(631) 465-6300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F440017-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F440017-1
LICENSE NUMBER
NY
Enumeration date
02/23/2010
Last updated
02/23/2010
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