Lacalamita, Jack

Lacalamita, Jack is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lacalamita, Jack can be contacted via phone (845) 333-1000.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 160895 New York

Profile Details

NPI number 1790767598
LBN Legal business name Lacalamita, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 26th, 2015 - about 9 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 1790767598 NPPES
New York MEDICAID 01382594

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