Johann Eric Casallas
Spec/Tech, Health Info in New York, NY. Individual provider (NPI-1).
NPI number1902315377
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1902315377
- Entity type
- Individual (NPI-1)
- Name
- Johann Eric Casallas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Y00000X | Spec/Tech, Health Info | – | – | Yes |
Practice location
307 W 38th St Fl 6New York, NY 10018-9537
Phone 212-695-5441 · Fax 212-695-4561
Mailing address
307 W 38th St Fl 6New York, NY 10018-9537
Phone 212-695-5441 · Fax 212-695-4561
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