Individual
EDGAR GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7139 68TH ST # 2, GLENDALE, NY 11385-7061
(917) 929-3682
Mailing address
7139 68TH ST # 2, GLENDALE, NY 11385-7061
(917) 929-3682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024643
NY
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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