Basic Information
| Provider Information | |||||||||
| NPI: | 1922145887 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KALINSKY | ||||||||
| FirstName: | JAY | ||||||||
| MiddleName: | H. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1985 CROMPOND RD | ||||||||
| Address2: | BUILDING B | ||||||||
| City: | CORTLANDT MANOR | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105674146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147391697 | ||||||||
| FaxNumber: | 9147390973 | ||||||||
| Practice Location | |||||||||
| Address1: | 1985 CROMPOND RD | ||||||||
| Address2: | BUILDING B | ||||||||
| City: | CORTLANDT MANOR | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105674146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147391697 | ||||||||
| FaxNumber: | 9147390973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 120884 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 00539262 | 05 | NY | MEDICAID | 313311 | 01 | NY | EMPIRE BCBS | OTHER | 5713365 | 01 | NY | AETNA HEALTH PLAN | OTHER | OD4620 | 01 | NY | HEALTHNET | OTHER | WP067 | 01 | NY | OXFORD HEALTH PLAN | OTHER |