Provider Demographics
NPI:1740595651
Name:CALLISTE, DAWN (FNP-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CALLISTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 SIXTH STREET
Mailing Address - Street 2:NEW YORK METHODIST HOSPITAL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-9008
Mailing Address - Country:US
Mailing Address - Phone:718-768-4313
Mailing Address - Fax:718-965-3672
Practice Address - Street 1:506 SIXTH STREET
Practice Address - Street 2:NEW YORK METHODIST HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-9008
Practice Address - Country:US
Practice Address - Phone:718-768-4313
Practice Address - Fax:718-965-3672
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily