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NPI Code Detail

MEDICARE: EMILY CALLANDER LPN

MEDICARE:   EMILY  CALLANDER  LPN
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
1164W00000XLicensed Practical Nurse221895CA

General Provider Information

NPI Number : 1154575314
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CALLANDER LPN
Provider Business Mailing Address
First Line : 2025 GILBERT ST
Second Line :
City : YORKTOWN HTS
State : NY
Zip : 10598-4020
Country : US
Telephone Number : 805-765-0588
Fax Number :
Provider Business Practice Location Address
First Line : 2025 GILBERT ST
Second Line :
City : YORKTOWN HTS
State : NY
Zip : 10598-4020
Country : US
Telephone Number : 805-765-0588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2008
Last Update Date : 07/21/2022

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Directions to “ EMILY CALLANDER LPN” Practice Location

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