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Individual

DR. GEORGE CONSTANTINE KALONAROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-7260
(716) 447-7263
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-7260
(716) 447-7263

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
155226
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010086901
UNIVERA
NY
01
000529289001
BLUE CROSS
NY
05
01122774
NY
01
0509854
INDEPENDENT HEALTH
NY
01
130011312
RAILROAD MEDICARE
NY
Enumeration date
05/04/2006
Last updated
09/09/2010
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