Individual
GERALD L CALABRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160226
NY
Other
Enumeration date
10/07/2005
Last updated
01/06/2010
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