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Dr. Charisse McCall, D.O.

Dermatology in Commack, NY. Individual provider (NPI-1).

NPI number1073802450
StatusActive
Last updated in NPPESAug 25, 2021

Details

NPI
1073802450
Entity type
Individual (NPI-1)
Name
Dr. Charisse McCall
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2011
Certification date
Aug 25, 2021
Last updated
Aug 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology260162NYYes
207Q00000X Family Medicine260162NY

Practice location

149 Commack Rd
Ste B
Commack, NY 11725-3459

Phone 631-467-4653

Mailing address

149 Commack Rd Ste B
Commack, NY 11725-3459

Phone 631-467-4653

Other practice locations

358 S Oyster Bay Rd
Hicksville, NY 11801-3508

Phone 516-822-7546

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Other Dermatology Physician providers in Commack, NY

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