Individual
BIANCA NILANI CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 BOSTON RD, BRONX, NY 10456
(718) 860-2515
(718) 860-2519
Mailing address
1110 BOSTON RD, BRONX, NY 10456-5375
(718) 860-2515
(718) 860-2519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
281985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04797655
—
NY
01
—
281985
MEDICAL LICENSE
NY
Enumeration date
04/15/2014
Last updated
08/27/2019
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