Provider Demographics
NPI:1003803727
Name:KALANGIE, JOE FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:FRANCIS
Last Name:KALANGIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 OVINGTON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1483
Mailing Address - Country:US
Mailing Address - Phone:718-748-4747
Mailing Address - Fax:718-921-4402
Practice Address - Street 1:355 OVINGTON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1483
Practice Address - Country:US
Practice Address - Phone:718-748-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123125208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00743444Medicaid
NY00743444Medicaid
B78799Medicare UPIN