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NPI Code Detail

MEDICARE: MR. JOSHUA DAVID CALLEY RN FNP-C

MEDICARE:  MR. JOSHUA DAVID CALLEY  RN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner340763NY
2163W00000XRegistered Nurse658301NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912359563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA DAVID CALLEY RN FNP-C
Provider Business Mailing Address
First Line : 100 KINGS HWY S STE 1400
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5541
Country : US
Telephone Number : 585-922-1203
Fax Number : 585-922-1011
Provider Business Practice Location Address
First Line : 2365 S CLINTON AVE STE 100
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2663
Country : US
Telephone Number : 585-244-4771
Fax Number : 585-256-2271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 04/17/2026

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