Provider Demographics
NPI:1437701117
Name:CALAMIA, ALLISON (LAC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:CALAMIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1811
Mailing Address - Country:US
Mailing Address - Phone:631-559-2796
Mailing Address - Fax:
Practice Address - Street 1:1075 ROUTE 112 # 102
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-8051
Practice Address - Country:US
Practice Address - Phone:516-500-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024733225700000X
NY0006425171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist