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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

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