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Dr. Michael J. Gallagher
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Michael J. Gallagher |
Gender: | M |
Provider License Number If Given: | 4988 |
NPI Information:
NPI: | 1154320679 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 10230 66TH RD 21D Forest Hills, NY 11375 |
Phone Number: | 7182753737 |
Fax Number: | 7182753737 |
Provider Business Practice Location Address:
Address: | 10230 66TH RD 21D Forest Hills, NY 11375 |
Phone Number: | 7182753737 |
Fax Number: | 7182753737 |
Provider Taxonomy:
Primary: | 103TC0700X |
Secondary (if any): | |
State: | NY |