Individual
MISS CINDY A CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
276 SMITHTOWN BLVD, SUITE 1, NESCONSET, NY 11767-2084
(631) 981-9143
Mailing address
39 LUBBER ST, STONY BROOK, NY 11790-1105
(631) 793-6782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 013023
NY
Other
Enumeration date
11/25/2008
Last updated
02/07/2011
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