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Individual

MR. DENNIS P. GALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, CLINICAL PSYCHO

Contact information

Practice address
104 HARRIET ROAD, NORTH BABYLON, NY 11703-4705
(631) 422-2962
(631) 422-2962
Mailing address
104 HARRIET ROAD, NORTH BABYLON, NY 11703-4705
(631) 422-2962
(631) 422-2962

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004691
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004389686
AETNA
01
008966399
GHI
01
A058227
VALUE OPTIONS
01
DR7076
OXFORD HEALTH PLANS
01
V5529
BLUE CROSS BLUE SHIELD
Enumeration date
04/02/2007
Last updated
01/19/2011
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