Individual
CALEB ELLIS KOLJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
286 5TH AVE OFC 7K, NEW YORK, NY 10001-4512
(212) 746-1643
Mailing address
286 5TH AVE OFC 7K, NEW YORK, NY 10001-4512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
318285
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
08/18/2025
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