Michael Joseph Calarco, D.C.

Individual provider Active NPI Chiropractor · Grand Island, NY

NPI 1811217581 · NPPES record last updated Jun 24, 2019

Key facts

NPI
1811217581
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
X012053-1 (NY)
Practice address
101 Lang Blvd
Grand Island, NY 14072-1601
Phone
(716) 799-4582
Fax
(716) 774-8004
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
X012053-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Elevated PLLC Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010464 PA
Chiropractor 111N00000X X012053-1 NY Yes

Addresses

Primary practice location

101 Lang Blvd
Grand Island, NY 14072-1601

Mailing address

101 Lang Blvd
Grand Island, NY 14072-1601
Phone (716) 799-4582

Other providers in Grand Island, NY

All providers in Grand Island, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.