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Individual

MRS. JILL GALLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
80 BEEKMAN AVE, SLEEPY HOLLOW, NY 10591-2503
(914) 631-4141
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993

Taxonomy

Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
F381022
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02441490
NY
01
F381022
NURSE PRACTITIONER LIC
NY
Enumeration date
03/27/2007
Last updated
03/15/2012
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