Provider Demographics
NPI:1639661861
Name:KALCHGRUBER, MARIA FRANCISCA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:FRANCISCA
Last Name:KALCHGRUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SPRING DELL APT 7D
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2071
Mailing Address - Country:US
Mailing Address - Phone:845-325-2231
Mailing Address - Fax:
Practice Address - Street 1:307 WEST 38TH STREET 6TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:212-695-4564
Practice Address - Fax:212-695-4561
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator