Provider Demographics
NPI:1104180611
Name:CALIGIURE, MARY (RDT, LCAT)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:CALIGIURE
Suffix:
Gender:F
Credentials:RDT, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2047
Mailing Address - Country:US
Mailing Address - Phone:516-497-2700
Mailing Address - Fax:
Practice Address - Street 1:125 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2047
Practice Address - Country:US
Practice Address - Phone:516-497-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001453102X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist