Individual
LORRAINE CALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
90 HIDDEN POND PATH, WADING RIVER, NY 11792-2175
(631) 397-0012
Mailing address
90 HIDDEN POND PATH, WADING RIVER, NY 11792-2175
(631) 397-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303856
NY
Other
Enumeration date
01/30/2007
Last updated
05/02/2018
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