Provider Demographics
NPI:1790597961
Name:KALBERER, SCOTT (CERTIFIED ORTHOTIST)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:KALBERER
Suffix:
Gender:M
Credentials:CERTIFIED ORTHOTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MERRICK AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1573
Mailing Address - Country:US
Mailing Address - Phone:516-933-9255
Mailing Address - Fax:516-933-4710
Practice Address - Street 1:90 MERRICK AVE STE 210
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1573
Practice Address - Country:US
Practice Address - Phone:516-933-9255
Practice Address - Fax:631-933-4710
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist