Individual
COLLEEN MCCALLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TERRY LN, MONTICELLO, NY 12701-5637
(845) 791-0351
Mailing address
PO BOX 535, KIAMESHA LAKE, NY 12751-0535
(845) 791-0351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
587362
NY
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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