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NPI Code Detail

MEDICARE: MS. SHIRLEY RENAE MCCALL RN

MEDICARE: MS. SHIRLEY RENAE MCCALL RN
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
1163W00000XRegistered Nurse575970-1NY

General Provider Information

NPI Number : 1093926925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHIRLEY RENAE MCCALL RN
Provider Business Mailing Address
First Line : 3944 JERUSALEM AVE
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1611
Country : US
Telephone Number : 516-221-2039
Fax Number :
Provider Business Practice Location Address
First Line : CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.
Second Line : 950 SOUTH OYSTER BAY ROAD
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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