Individual
ELLEN E GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
585 NEW LOUDON ROAD, LATHAM, NY 12110
(518) 783-1472
(518) 783-1605
Mailing address
585 NEW LOUDON ROAD, WATERVLIET, NY 12189
(518) 783-1472
(518) 783-1605
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420421
NY
Other
Enumeration date
06/22/2006
Last updated
11/02/2016
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