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BRIAN D CALLAHAN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1932153301

Individual Registrant:
 BRIAN D CALLAHAN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
480 STATE ROUTE 28 SUITE 1 BOICEVILLE, NY 12412-2820 US
Tel: 845-657-7820  Fax: 845-657-6016

Contact information for business:
480 STATE ROUTE 28 SUITE 1 BOICEVILLE, NY 12412-2820 US
Tel: 845-657-7820  Fax: 845-657-6016

Registration Information:
NPI: 1932153301
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
NYF330832
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NYF330832

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
01927462NY05




HEALTH CARE JOBS NY - Page 1



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