Provider Demographics
NPI:1356583090
Name:CALABRIA, CASEY LYNN (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:CASEY
Middle Name:LYNN
Last Name:CALABRIA
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WESTFALL RD
Mailing Address - Street 2:ROOM 1036
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4647
Mailing Address - Country:US
Mailing Address - Phone:585-753-5374
Mailing Address - Fax:585-753-5378
Practice Address - Street 1:111 WESTFALL RD
Practice Address - Street 2:ROOM 1036
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4647
Practice Address - Country:US
Practice Address - Phone:585-753-5374
Practice Address - Fax:585-753-5378
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604112163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health