ILIA E CALLUZZO

SQUARE CARE MEDICAL GROUP LLP

Dr ILIA E CALLUZZO is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2009.

Contact

SQUARE CARE MEDICAL GROUP LLP

3629 BELL BLVD
BAYSIDE
NY
113612056

Tel: 7182245800

ILIA E CALLUZZO Information

Npi 1073741351
Pac Id 4385876069
Professional Enrollment Id I20140411000014
Last Name CALLUZZO
First Name ILIA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SQUARE CARE MEDICAL GROUP LLP
Group Practice Pac Id 7012938434
Number Of Group Practice Members 76
Line 1 Street Address 3629 BELL BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BAYSIDE
State NY
Zip Code 113612056
Phone Number 7182245800
Hospital Affiliation Ccn 1 330106
Hospital Affiliation Lbn 1 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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