Individual
MS. ANTONINA LOUISE CALCAVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1617 N JAMES ST, ROME, NY 13440-2852
(315) 336-8260
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102209715
VA
207Q00000X
Family Medicine Physician
Primary
328694
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2021
Last updated
12/10/2025
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