Individual
ELIZABETH CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 MONTAUK HWY, A2, WEST ISLIP, NY 11795-4927
(631) 376-4318
Mailing address
1000 MONTAUK HWY, A2, WEST ISLIP, NY 11795-4927
(631) 376-4318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014696-1
NY
Other
Enumeration date
05/09/2011
Last updated
03/16/2016
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