Provider Demographics
NPI:1497824213
Name:CALAWA, STEVEN PETER (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PETER
Last Name:CALAWA
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 5TH AVE
Mailing Address - Street 2:STE 1815
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111-1872
Mailing Address - Country:US
Mailing Address - Phone:212-969-9490
Mailing Address - Fax:212-969-9490
Practice Address - Street 1:630 5TH AVE
Practice Address - Street 2:STE 1815
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111-1872
Practice Address - Country:US
Practice Address - Phone:212-969-9490
Practice Address - Fax:212-969-9490
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0374901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist