Individual
CALISON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 SEAFORD AVE, MASSAPEQUA, NY 11758-4433
(717) 823-0488
Mailing address
564 SEAFORD AVE, MASSAPEQUA, NY 11758-4433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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