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
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