Individual
CASEY CAITLYN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
152 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 913-8239
Mailing address
23 SOMMERSET DR, YAPHANK, NY 11980-1806
(631) 816-6426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028478
NY
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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