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Kevin Callagy

Student in an Organized Health Care Education/Training Program in Port Jefferson, NY. Individual provider (NPI-1).

NPI number1386583946
StatusActive
Last updated in NPPESMar 27, 2026

Details

NPI
1386583946
Entity type
Individual (NPI-1)
Name
Kevin Callagy
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 27, 2026
Certification date
Mar 27, 2026
Last updated
Mar 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Phone 631-686-2549

Mailing address

75 N Country Rd
Port Jefferson, NY 11777-2119

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