Miguel Calimano Md Pc | |
88 Terry Rd # 7 Smithtown NY 11787-3811 | |
(631) 926-5682 | |
(631) 406-7241 |
Full Name | Miguel Calimano Md Pc |
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Speciality | Psychiatry & Neurology |
Location | 88 Terry Rd # 7, Smithtown, New York |
Authorized Official Name and Position | Miguel Calimano (PRESIDENT) |
Authorized Official Contact | 6319265692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Miguel Calimano Md Pc 88 Terry Rd # 7 Smithtown NY 11787-3811 Ph: (631) 926-5682 | Miguel Calimano Md Pc 88 Terry Rd # 7 Smithtown NY 11787-3811 Ph: (631) 926-5682 |
NPI Number | 1912417106 |
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Provider Enumeration Date | 10/03/2017 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 2365706462 |
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Medicare Enrollment ID | O20180425001362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912417106 | NPI | - | NPPES |
02979844 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 238218 (New York) | Primary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 238218 (New York) | Secondary |
Provider Name | Miguel E Calimano |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912921214 PECOS PAC ID: 8224031018 Enrollment ID: I20060817000025 |
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