Individual
DR. GLENN WILLIAM CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
626 MCLEAN AVENUE, YONKERS, NY 10705
(914) 423-8808
(914) 423-8810
Mailing address
626 MCLEAN AVENUE, YONKERS, NY 10705
(914) 423-8808
(914) 423-8810
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0038981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009045723
—
NY
01
—
P51251
BLUE CROSS BLUE SHIELD
NY
01
—
WS1077
OXFORD
NY
Enumeration date
10/06/2006
Last updated
05/24/2010
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