Provider Demographics
NPI:1992930432
Name:CALO, CARLO FRANK (CRC)
Entity type:Individual
Prefix:MR
First Name:CARLO
Middle Name:FRANK
Last Name:CALO
Suffix:
Gender:M
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3104
Mailing Address - Country:US
Mailing Address - Phone:516-857-7444
Mailing Address - Fax:
Practice Address - Street 1:12 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3104
Practice Address - Country:US
Practice Address - Phone:516-857-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor