Provider Demographics
NPI:1053717173
Name:CALABRESE, KRISTEN P (AUD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:P
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 E 62ND ST
Mailing Address - Street 2:APT 7D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7764
Mailing Address - Country:US
Mailing Address - Phone:917-902-7078
Mailing Address - Fax:
Practice Address - Street 1:1421 3RD AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1899
Practice Address - Country:US
Practice Address - Phone:212-792-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002518-1231H00000X
NJ41YA00088700231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist