Mccall, Charisse

Mccall, Charisse is an individual health care provider with primary practice located at 149 Commack Rd Ste B, Commack NY 11725-3459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mccall, Charisse can be contacted via phone (631) 467-4653.

Contact Information

Primary practice address
149 Commack Rd Ste B Commack NY 11725-3459
Phone: (631) 467-4653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 260162 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 260162 New York

Profile Details

NPI number 1073802450
LBN Legal business name Mccall, Charisse
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073802450 NPPES
New York MEDICAID 03918898

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