Individual
DR. JOSEPH E. CALDERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MADISON AVE, 3RD FLOOR, ELMIRA, NY 14901-3218
(607) 734-1581
(607) 734-0972
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109086
NY
207RG0100X
Gastroenterology Physician
Primary
109086
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
109086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00360090
—
NY
Enumeration date
05/17/2006
Last updated
06/09/2016
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