Casey Jackson Calabrese, DPT
Physical Medicine & Rehabilitation, Pain Medicine in Buffalo, NY. Individual provider (NPI-1).
NPI number1093295537
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1093295537
- Entity type
- Individual (NPI-1)
- Name
- Casey Jackson Calabrese
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 044120 | NY | Yes |
Practice location
656 Elmwood AveBuffalo, NY 14222
Phone 716-883-0515
Mailing address
8985 Clarence Center RdClarence Center, NY 14032-9756
Phone 716-906-0377
Other practice locations
656 Elmwood Ave
Buffalo, NY 14222
Buffalo, NY 14222
Phone 716-883-0515
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