Individual
MARY ELIZABETH CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-7340
(212) 305-6891
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-7340
(212) 305-6891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299233
NY
207R00000X
Internal Medicine Physician
MD464097
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
299233
NY
Other
Enumeration date
04/08/2014
Last updated
07/02/2019
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