Provider Demographics
NPI:1265501480
Name:PHILLIP J CALENDA MD 2 PC
Entity Type:Organization
Organization Name:PHILLIP J CALENDA MD 2 PC
Other - Org Name:WESTCHESTER VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALENDA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:914-725-4500
Mailing Address - Street 1:1075 CENTRAL PARK AVE STE 303A
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3244
Mailing Address - Country:US
Mailing Address - Phone:914-725-4500
Mailing Address - Fax:
Practice Address - Street 1:1075 CENTRAL PARK AVE STE 303A
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3244
Practice Address - Country:US
Practice Address - Phone:914-725-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200759207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty