Individual
CALVIN G BREEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(631) 704-5597
Mailing address
17 WYCOMB PL, CORAM, NY 11727-1043
(631) 704-5597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
888947
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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