Provider Demographics
NPI:1104235746
Name:KALMUS, LANA (BS)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:KALMUS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1705
Mailing Address - Country:US
Mailing Address - Phone:845-591-5303
Mailing Address - Fax:
Practice Address - Street 1:11 CARROLL ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5136
Practice Address - Country:US
Practice Address - Phone:845-563-0671
Practice Address - Fax:845-563-0707
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator