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1861044612
KELLY CALCASOLA
WEST ISLIP, NY
NPI
1861044612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024485)
Enumeration Date
2019-07-11
Last Update Date
2026-01-05
Business Address
KELLY CALCASOLA
540 UNION BLVD
WEST ISLIP, NY 11795-3105
Phone number: 631-669-2555
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Mailing Address
KELLY CALCASOLA
540 UNION BLVD
WEST ISLIP, NY 11795-3105
Phone number: 631-669-2555
Copy
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