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Contact Information

ILIA E CALLUZZO, MD
3629 BELL BLVD
BAYSIDE, NY11361-2056
 Phone: 718-224-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ILIA E CALLUZZO · (Female)

NPI # 1073741351
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2009
Last updated 12/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 259615
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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