Individual
BRIAN D CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 STATE ROUTE 28, SUITE 1, BOICEVILLE, NY 12412-2820
(845) 657-7820
(845) 657-6016
Mailing address
480 STATE ROUTE 28, SUITE 1, BOICEVILLE, NY 12412-2820
(845) 657-7820
(845) 657-6016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330832
NY
363LF0000X
Family Nurse Practitioner
F330832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927462
—
NY
Enumeration date
05/20/2006
Last updated
06/20/2024
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