| Diego G. Calabria Physician P.c. | |
|
366 N Broadway Ste 304 Jericho NY 11753-2000 | |
| (516) 698-9980 | |
| (516) 214-6331 |
| Full Name | Diego G. Calabria Physician P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 366 N Broadway Ste 304, Jericho, New York |
| Authorized Official Name and Position | Diego Gennaro Calabria (MD/OWNER) |
| Authorized Official Contact | 5169673583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diego G. Calabria Physician P.c. 147 Main St Apt 3h Mineola NY 11501-3989 Ph: () - | Diego G. Calabria Physician P.c. 366 N Broadway Ste 304 Jericho NY 11753-2000 Ph: (516) 698-9980 |
| NPI Number | 1518478080 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518478080 | NPI | - | NPPES |
| 03808826 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 267694 (New York) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 267694 (New York) | Secondary |
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