Individual
AMBER H CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 BENJOE DR, AMITYVILLE, NY 11701-1633
(631) 782-4032
Mailing address
25 BENJOE DR, AMITYVILLE, NY 11701-1633
(631) 782-4032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300251-1
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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