Organization
COLUMBIA MEMORIAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CALLANAN PA (PHYSICIAN ASSISTANT)
(585) 764-0154
Entity
Organization
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
PO BOX 428, MUMFORD, NY 14511-0428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020746-1
NY
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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