Individual
AMANDA CALLANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
PO BOX 428, MUMFORD, NY 14511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020746-1
NY
363A00000X
Physician Assistant
20746
NY
Other
Enumeration date
04/28/2017
Last updated
06/30/2023
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