Individual
MRS. IRMA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 5TH AVE, EAST NORTHPORT, NY 11731-2631
(631) 565-0617
Mailing address
1170 5TH AVE, EAST NORTHPORT, NY 11731-2631
(631) 565-0617
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004017-1
NY
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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