Individual
ANNA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.PT
Contact information
Practice address
1120 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1755
(516) 316-2719
(718) 883-1562
Mailing address
1120 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1755
(516) 316-2719
(718) 883-1562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011649
PT LISENCE
NY
Enumeration date
12/01/2008
Last updated
12/01/2008
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