Provider Demographics
NPI:1053121236
Name:VIGIER-CALLENDER, ANTHONIA (NP)
Entity type:Individual
Prefix:
First Name:ANTHONIA
Middle Name:
Last Name:VIGIER-CALLENDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-7515
Mailing Address - Country:US
Mailing Address - Phone:917-676-1033
Mailing Address - Fax:
Practice Address - Street 1:364 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-7515
Practice Address - Country:US
Practice Address - Phone:917-676-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF421839-01363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health