Individual
ALLYSON ELIZABETH GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
319 S MANNING BLVD STE 106, ALBANY, NY 12208
(518) 438-1019
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022437
NY
Other
Enumeration date
08/06/2018
Last updated
01/04/2023
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