KRYSTAL NICOLE CALLAHAN

BAY SHORE, NY
NPI1134935448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  032456-01)
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
KRYSTAL NICOLE CALLAHAN PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
KRYSTAL NICOLE CALLAHAN PA
17 SUPERIOR ST
PORT JEFFERSON STATION, NY 11776-4329
Phone number: 631-624-0823
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