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Organization

GALLERIA MEDICAL ASSOCIATES PLLC

Active
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Organization

GALLERIA MEDICAL ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICK CANNAVO (TREASURER)
(718) 222-5999
Entity
Organization

Contact information

Practice address
115 E 57TH ST STE 510, NEW YORK, NY 10022-2221
(718) 222-5999
Mailing address
347 5TH AVE RM 402, NEW YORK, NY 10016-5007

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518024678
IND NPI
NY
01
1689738577
IND NPI
NY
01
1801817275
IND NPI
NY
Enumeration date
05/18/2011
Last updated
05/18/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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