Calabrese, Peter W

Calabrese, Peter W is an individual health care provider with primary practice located at 2105 W Genesee St , Syracuse NY 13219-1656. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Calabrese, Peter W can be contacted via phone (315) 488-6638.

Contact Information

Primary practice address
2105 W Genesee St Syracuse NY 13219-1656
Phone: (315) 488-6638
Fax: (315) 487-2815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0030381 New York

Profile Details

NPI number 1902888142
LBN Legal business name Calabrese, Peter W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902888142 NPPES
New York MEDICAID 00597053

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