Provider Demographics
NPI:1932127172
Name:CALVARY HOSPITAL
Entity Type:Organization
Organization Name:CALVARY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PALLIATIVE CARE INSTITUTE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRESCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-518-2147
Mailing Address - Street 1:66 MILTON RD APT B12
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-7810
Mailing Address - Country:US
Mailing Address - Phone:718-518-2147
Mailing Address - Fax:718-518-2656
Practice Address - Street 1:1740 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2300
Practice Address - Country:US
Practice Address - Phone:718-518-2147
Practice Address - Fax:718-518-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137937282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital