Individual
NINA ERIN CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
211 CATHERINE ST, EAST NORTHPORT, NY 11731-1004
(631) 896-8579
Mailing address
211 CATHERINE ST, EAST NORTHPORT, NY 11731-1004
(631) 896-8579
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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