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Individual

GENNESIS ANDREA GALLEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 RIVERDALE AVE STE 3, BRONX, NY 10463-4903
(929) 447-5262
Mailing address
1601 METROPOLITAN AVE APT 2A, BRONX, NY 10462-6244
(646) 546-7679

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/04/2019
Last updated
01/04/2019
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