Individual
MIKALIA SHANNON CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
74 BROOK RD, ROCHESTER, NY 14623-1920
(585) 748-9444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352913
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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