Individual
DR. DAVID JASON GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 MITCHELL AVE, SUITE G-50, BINGHAMTON, NY 13903-1619
(607) 771-2220
(607) 771-2225
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
246979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03355662
—
NY
Enumeration date
04/18/2008
Last updated
04/23/2013
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