Individual
DANIEL MCCALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 W MERRICK RD STE 204, FREEPORT, NY 11520-3743
(516) 867-0102
(516) 867-1857
Mailing address
155 W MERRICK RD STE 204, FREEPORT, NY 11520-3743
(516) 867-0102
(516) 867-1857
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
115718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425750
—
NY
01
—
340002520
PALMETTO GBA/RAILROAD MED
—
Enumeration date
06/14/2006
Last updated
10/25/2007
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