Provider Demographics
NPI:1003405648
Name:KALFAS, EMILY ANNE (LPN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:KALFAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 E DOUGHTY ST
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-2939
Mailing Address - Country:US
Mailing Address - Phone:716-467-4060
Mailing Address - Fax:
Practice Address - Street 1:41 E DOUGHTY ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2939
Practice Address - Country:US
Practice Address - Phone:716-467-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322835164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse