McKenzie Callagy, LPN
Individual provider Active NPI Licensed Practical Nurse · Shirley, NY
NPI 1023665643 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1023665643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 330852 (NY)
- Practice address
- 105 Moriches Middle Island Rd
Shirley, NY 11967-1229 - Phone
- (631) 965-7165
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 330852 | NY | Yes |
Addresses
Primary practice location
105 Moriches Middle Island Rd
Shirley, NY 11967-1229
Mailing address
105 Moriches Middle Island Rd
Shirley, NY 11967-1229
Phone (631) 965-7165
Other providers in Shirley, NY
- Susan Byrne
- Jessica Nicole Cacace
- Samantha Cairo
- Christine Calabro
- Alexandra Elizabeth Calestini
- Leanna Campo
- Ashley Maria Canas
- Gina Caputo
- Lisa J Caravousanos
- Jordan Michelle Caro
All providers in Shirley, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.