NPI 1003211475

Jerome Ekundayo Calloway, MD

Practitioner General Practice Physician Brooklyn, NY

Practice location

Address: 255 E 98th St, Brooklyn, NY 11212-8817
Phone: (718) 240-2644

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 277533 (NY)

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Registry record

NPI: 1003211475
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2014
Record last updated: 28 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.