Individual
TEDDY JEAN CALIXTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2330 HOFFMAN AVE, ELMONT, NY 11003-2841
(718) 801-3104
Mailing address
2330 HOFFMAN AVE, ELMONT, NY 11003-2841
(718) 801-3104
(516) 502-6331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
11/07/2016
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