Individual
CHAUNTAY CALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
820 BOYNTON AVE APT 15G, BRONX, NY 10473-4618
(917) 862-5215
(718) 347-4643
Mailing address
820 BOYNTON AVE APT 15G, BRONX, NY 10473-4618
(914) 310-7044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291460
NY
Other
Enumeration date
11/07/2008
Last updated
08/21/2023
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