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Individual

CALYSTRA K N JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(347) 369-9962
Mailing address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(347) 369-9962

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
357217
NY

Other

Enumeration date
08/11/2026
Last updated
08/11/2026
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