Individual
JASON MARC GALLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 SECOND AVENUE, 7TH FLOOR, NEW YORK, NY 10017-1007
(212) 616-4130
(212) 691-6370
Mailing address
P O BOX 182, NEW YORK, NY 10163-0182
(212) 616-4130
(212) 691-6370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
234845
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
234845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234845
LICENSE NUMBER
NY
Enumeration date
03/22/2007
Last updated
12/23/2010
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