Provider Demographics
NPI:1447318084
Name:CALABRESE, MICHAEL FRED (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRED
Last Name:CALABRESE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:139 E 57TH ST
Mailing Address - Street 2:FL 8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2102
Mailing Address - Country:US
Mailing Address - Phone:212-750-5088
Mailing Address - Fax:212-750-6118
Practice Address - Street 1:139 E 57TH ST
Practice Address - Street 2:FL 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2102
Practice Address - Country:US
Practice Address - Phone:212-750-5088
Practice Address - Fax:212-750-6118
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0101485-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447318084OtherNPI