Individual
JOANA MARI SILVERIO CALAYCAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
872 47TH ST, BROOKLYN, NY 11220-2325
(929) 257-6161
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040968
PROFESSIONAL LICENSE
NY
Enumeration date
10/03/2019
Last updated
10/03/2019
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