Provider Demographics
NPI:1326321704
Name:CALERO-KUNDA, DIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:CALERO-KUNDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 NICOLLS ROAD HSC LEVEL 9 RM 090
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8091
Mailing Address - Country:US
Mailing Address - Phone:631-444-2757
Mailing Address - Fax:631-444-6155
Practice Address - Street 1:101 NICOLLS ROAD HSC LEVEL 9 RM 090
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8091
Practice Address - Country:US
Practice Address - Phone:631-444-2757
Practice Address - Fax:631-444-6155
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036137794207V00000X
NY296612207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology