Individual
MS. D GALE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1790 BERGEN STREET, BROOKLYN, NY 11233-3802
(718) 363-0086
Mailing address
1790 BERGEN STREET, BROOKLYN, NY 11233-3802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333978-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946881
—
NY
Enumeration date
08/27/2010
Last updated
08/27/2010
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