Provider Demographics
NPI:1205812773
Name:CALLEO CROSS, ANNAMARIA THERESA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNAMARIA
Middle Name:THERESA
Last Name:CALLEO CROSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:73 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7616
Mailing Address - Country:US
Mailing Address - Phone:914-831-4121
Mailing Address - Fax:914-305-2719
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7616
Practice Address - Country:US
Practice Address - Phone:914-831-4121
Practice Address - Fax:914-305-2719
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220292207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000072988OtherGHI HMO
NY220292OtherCONNECTICARE
NY220292-7WOtherWORKERS COMPENSATION
NY2590378OtherAETNA HMO
NY57S582OtherBLUE CROSS PPO
NY02164872Medicaid
NY110245775OtherRAIL ROAD MEDICARE
NY133884168OtherMULTIPLAN
NY133884168OtherPOMCO
NY133884168OtherPHCS
NY0007771256OtherAETNA NON HMO
NY3945448-013OtherCIGNA PCP
NY133884168OtherBEECH STREET
NY2092540OtherUNITED HEALTH CARE
NYP2483139OtherOXFORD
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY22593259OtherGHI PPO
NY3C3815OtherHEALTH NET
NY133884168OtherBEECH STREET
NY133884168OtherPOMCO