Organization
GLENN W. CALLAHAN, D.P.M.
Active
Organization
GLENN W. CALLAHAN, D.P.M.
Active
Other names
Foot Care Center Of Yonkers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN W CALLAHAN D.P.M. (DOCTOR)
(914) 423-8808
Entity
Organization
Contact information
Practice address
626 MCLEAN AVE, YONKERS, NY 10705-4738
(914) 423-8808
(914) 423-8810
Mailing address
626 MCLEAN AVE, YONKERS, NY 10705-4738
(914) 423-8808
(914) 423-8810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N0038981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009045723
—
NY
01
—
P51252
EMPIRE BLUE CROSS BLUE SH
NY
01
—
WS1077
OXFORD
NY
Enumeration date
07/24/2007
Last updated
05/24/2010
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