Ammiel Callum
Ammiel Callum is a Nurse Practitioner in Elizabeth, New Jersey. Qualified in 2020, 6 years ago. Practices with East Harlem Council for Human Services Inc, a 15-clinician group. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
351 S Broad St Apt 305Elizabeth, NJ 07202-5516
Phone: (718) 864-6962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence F309810 (NY) |
|---|
Record details
| NPI number | 1467048926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | December 17, 2020 |
| Mailing address | 351 S Broad St Apt 305, Elizabeth, NJ 07202-5516 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | East Harlem Council For Human Services Inc — 15 clinicians |
| Accepts Medicare assignment | Not indicated |
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