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Organization
BREWSTER MEDICAL, PC
Active
Organization
BREWSTER MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GALLO MD (PRESIDENT)
15167597702
Entity
Organization
Contact information
Practice address
3 BREWSTER ST, GLEN COVE, NY 11542-2510
(151) 675-9770
Mailing address
3 BREWSTER ST, GLEN COVE, NY 11542-2510
(151) 675-9770
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
127749
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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