Individual
BRIAN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Mailing address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712211
RN LICENSE
NY
Enumeration date
04/06/2016
Last updated
04/06/2016
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