Provider Demographics
NPI:1912359563
Name:CALLEY, JOSHUA DAVID (RN FNP-C)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DAVID
Last Name:CALLEY
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Gender:M
Credentials:RN FNP-C
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:ENVIRONMENTAL MED - FINGER LAKES
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-244-4771
Mailing Address - Fax:585-256-2271
Practice Address - Street 1:400 WHITE SPRUCE BLVD STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1619
Practice Address - Country:US
Practice Address - Phone:585-244-4771
Practice Address - Fax:585-256-2271
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2024-07-09
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Provider Licenses
StateLicense IDTaxonomies
NY658301163W00000X
NY340763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00340763Medicaid
NY0F340763Medicaid