Provider Demographics
NPI:1366420440
Name:CALOSSO, ADRIANA (GNP, ANP)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:
Last Name:CALOSSO
Suffix:
Gender:F
Credentials:GNP, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2607
Mailing Address - Country:US
Mailing Address - Phone:516-676-2046
Mailing Address - Fax:
Practice Address - Street 1:ONE GUTAVE LEVI PLACE
Practice Address - Street 2:BOX 1495 MOUNT SINAI MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-1800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304163363LA2200X
NYF340523363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology