Provider Demographics
NPI:1538553169
Name:CALLEGARI, NANCY
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:CALLEGARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 18TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-2207
Mailing Address - Country:US
Mailing Address - Phone:631-678-1106
Mailing Address - Fax:
Practice Address - Street 1:488 18TH ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-2207
Practice Address - Country:US
Practice Address - Phone:631-678-1106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator