Individual
RENAE CALVARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 OLD CAHOONZIE RD, SPARROW BUSH, NY 12780-5522
(845) 858-8294
Mailing address
PO BOX 437, SPARROW BUSH, NY 12780-0437
(845) 858-8294
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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