Individual
MR. GARY W MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
259 FIRST STREET, MINEOLA, NY 11501
(516) 606-8363
Mailing address
1048 N. FLETCHER AVENUE, VALLEY STREAM, NY 11580-1343
(516) 606-8363
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012108-1
NY
Other
Enumeration date
01/08/2008
Last updated
03/04/2011
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