Most Relevant Information
Provider Data
| NPI Number: | 1003211475 |
| Provider Name: | JEROME EKUNDAYO CALLOWAY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 277533 |
Most Important Dates
| Enumeration Date: | 10/28/2014 |
| Last Updated: | 10/28/2014 |
Provider Practice Location
255 E 98TH ST
BROOKLYN
NY
112128817
Practice Location Phone/Fax
| Phone: | 7182402644 |
| Fax: |
Provider Mailing Location
255 E 98TH ST
BROOKLYN
NY
112128817
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |