Individual
SEAN DUANE KALLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5020
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 305-5016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252732
NY
207RN0300X
Nephrology Physician
Primary
252732
NY
Other
Enumeration date
07/08/2008
Last updated
02/01/2024
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