Basic Information
Provider Information
NPI: 1528255999
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALORE
FirstName: BRIANA
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 725
Address2:  
City: COOPERSTOWN
State: NY
PostalCode: 13326
CountryCode: US
TelephoneNumber: 6075473468
FaxNumber: 6075476553
Practice Location
Address1: ONE ATWELL RD
Address2:  
City: COOPERSTOWN
State: NY
PostalCode: 13326
CountryCode: US
TelephoneNumber: 6075473468
FaxNumber: 6075476553
Other Information
ProviderEnumerationDate: 10/01/2007
LastUpdateDate: 09/10/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XA98683CAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X256592NYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home