Individual
KATHLEEN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY MEDICAL CENTER HOSPITAL, ALBANY, NY 12208-3412
(518) 262-0942
(518) 262-6081
Mailing address
114 HARVARD RD, WATERVLIET, NY 12189-1212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10068934
CDPHP
NY
01
—
4124267
MVP HEALTH PLAN
NY
Enumeration date
02/06/2007
Last updated
09/24/2008
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