Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LARYSSA CALLAN
Active
Individual
LARYSSA CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
693860
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
NONE
—
Enumeration date
04/25/2013
Last updated
04/25/2013
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