Individual provider · Type 1 NPI

Laryssa Callan

Specialist · Hicksville, NY

NPI number 1699119248 Active

Practice location

15 Fulton Ave
Hicksville, NY 11801-1954

Call (516) 342-9017 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X693860 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699119248

Laryssa Callan's National Provider Identifier is 1699119248, issued on Apr 25, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hicksville, NY. The record was last updated on Apr 25, 2013.