Provider Demographics
NPI:1447304704
Name:CALDARA, BARBARA B (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name:CALDARA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:548 POTIC CREEK ROAD
Mailing Address - City:EARLTON
Mailing Address - State:NY
Mailing Address - Zip Code:12058-0055
Mailing Address - Country:US
Mailing Address - Phone:518-731-2875
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1363
Practice Address - Country:US
Practice Address - Phone:518-719-3580
Practice Address - Fax:518-719-3797
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF420041-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health