Individual
CAMILLIA CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 GUY LOMBARDO AVE, FREEPORT, NY 11520-3742
(516) 226-3615
Mailing address
72 GUY LOMBARDO AVE, FREEPORT, NY 11520-3742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2356932
NY
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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