Organization
GERIATRIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KALCHTHALER DO (CEO AND MEDICAL DIRECTOR)
(914) 376-5555
Entity
Organization
Contact information
Practice address
69 S BROADWAY, YONKERS, NY 10701-4004
(914) 376-5555
(914) 964-1477
Mailing address
69 S BROADWAY, YONKERS, NY 10701-4004
(914) 376-5555
(914) 964-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NY
207R00000X
Internal Medicine Physician
Primary
—
NY
363A00000X
Physician Assistant
—
NY
363L00000X
Nurse Practitioner
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01060113
—
NY
Enumeration date
05/24/2006
Last updated
09/15/2008
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