| NPI Details | |
|---|---|
| NPI | 1043375165 |
| Gender | Male |
| Enumeration Date | 12/27/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1037 MAIN ST HUDSON RIVER HEALTHCARE, INC. PEEKSKILL NY, 10566-2913, US |
|
| Phone | (914) 734-8800 |
| Fax | (914) 734-8808 |
| Business Location | |
|---|---|
| 1200 BROWN ST 4TH FLOOR - CREDENTIALING PEEKSKILL NY, 10566-3617, US |
|
| Phone | (914) 734-8858 |
| Fax | (914) 734-8745 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | New York |
| License Number | 9907 |
| Remove 1043375165 NPI Number | |
According to our database, Edwin Calero CASAC NPI is 1043375165, taxonomy code is 101YA0400X and license number is 9907, license state is located at New York. Edwin Calero CASAC physically located at 1037 Main St, Peekskill NY, 10566-2913. NPI Number Edwin Calero CASAC has the Individual type.
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1043375165 NPI number is provided on an as is basis without warranty of any kind. 1043375165 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Calero CASAC are for informational purposes only.
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