Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A126431 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA10438900 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A126431 | CA |
NPI | 1528325453 |
---|---|
Provider Name | Dr. Hollin Elizabeth Calloway |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Hoboken, NJ 07030-5641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2012 |
Last Update Date | 01/04/2019 |