Individual provider · Type 1 NPI

Patricia Anne Calilao San Pedro, MD

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1023969623 Active

Practice location

327 Beach 19th St
Far Rockaway, NY 11691-4423

Call (718) 869-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023969623

Patricia Anne Calilao San Pedro, MD's National Provider Identifier is 1023969623, issued on Feb 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Feb 9, 2026.