Individual
MISS NICOLE TERESA CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
124 MCGLYNN PL, CEDARHURST, NY 11516-2305
(516) 569-3083
(516) 374-1185
Mailing address
124 MCGLYNN PL, CEDARHURST, NY 11516-2305
(516) 569-3083
(516) 374-1185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
445404101
NY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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