Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Nicole Callahan, PA

Individual provider Physician Assistant · NPI 1134935448

Krystal Nicole Callahan, PA is a Physician Assistant in Bay Shore, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Superior St, Port Jefferson Station, NY 11776-4329 — (631) 624-0823

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032456-01 (NY)

Record details

NPI number1134935448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateNovember 16, 2024

Other providers in Bay Shore