Organization
DIEGO G. CALABRIA PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO GENNARO CALABRIA MD (MD/OWNER)
(516) 967-3583
Entity
Organization
Contact information
Practice address
366 N BROADWAY STE 304, JERICHO, NY 11753-2000
(516) 698-9980
(516) 214-6331
Mailing address
147 MAIN ST APT 3H, MINEOLA, NY 11501-3989
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
267694
NY
2084P0804X
Child & Adolescent Psychiatry Physician
267694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03808826
—
NY
Enumeration date
10/23/2017
Last updated
10/23/2017
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