Individual
DR. CHARISSE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
149 COMMACK RD, STE B, COMMACK, NY 11725-3459
(631) 467-4653
Mailing address
149 COMMACK RD STE B, COMMACK, NY 11725-3459
(631) 467-4653
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
260162
NY
207Q00000X
Family Medicine Physician
260162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03918898
—
NY
Enumeration date
04/06/2011
Last updated
08/25/2021
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