Individual
CLEVON MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 MORROW AVE APT 4ES, SCARSDALE, NY 10583-8194
(251) 391-8232
Mailing address
40 MORROW AVE APT 4ES, SCARSDALE, NY 10583-8194
(251) 391-8232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
557306
NY
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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