Organization
BREWSTER MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GALLO MD (PRESIDENT)
15167597702
Entity
Organization
Contact information
Practice address
3 BREWSTER ST, GLEN COVE, NY 11542-2510
(151) 675-9770
Mailing address
3 BREWSTER ST, GLEN COVE, NY 11542-2510
(151) 675-9770
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
127749
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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