Healthcare Provider Details

I. General information

NPI: 1053121236
Provider Name (Legal Business Name): ANTHONIA VIGIER-CALLENDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 EVERGREEN AVE
BROOKLYN NY
11221-7515
US

IV. Provider business mailing address

364 EVERGREEN AVE
BROOKLYN NY
11221-7515
US

V. Phone/Fax

Practice location:
  • Phone: 917-676-1033
  • Fax:
Mailing address:
  • Phone: 917-676-1033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF421839-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: