Provider Demographics
NPI:1174633903
Name:CALABRIA, KATHRYN ELISE (DO)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ELISE
Last Name:CALABRIA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:2797 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11719-9596
Mailing Address - Country:US
Mailing Address - Phone:631-776-0432
Mailing Address - Fax:631-803-6064
Practice Address - Street 1:1101 STEWART AVE
Practice Address - Street 2:SUITE 1ES
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4892
Practice Address - Country:US
Practice Address - Phone:631-776-0432
Practice Address - Fax:516-227-5373
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2009-08-03
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Provider Licenses
StateLicense IDTaxonomies
NYA169270204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM