Dr. Jerome Ekundayo Calloway
General Practice Physician
255 E 98th St
Brooklyn
, New York 11212-8817
Dr. Jerome Ekundayo Calloway
General Practice Physician
255 E 98th St
Brooklyn
, New York 11212-8817
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jerome Ekundayo Calloway
- 255 E 98th St
- Brooklyn, NY
- Zip : 11212-8817
- Phone :
Second Address
- Dr. Jerome Ekundayo Calloway
- 255 E 98th St
- Brooklyn, NY
- Zip : 11212-8817
- Phone : (718) 240-2644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 277533 | NY |
National Provider Identifier
| NPI | 1003211475 |
|---|---|
| Provider Name | Dr. Jerome Ekundayo Calloway |
| First Address | Brooklyn, NY 11212-8817 |
| Second Address | Brooklyn, NY 11212-8817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2014 |
| Last Update Date | 28/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.