Individual
KELLY NICOLE GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1737 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1529
(631) 869-4082
Mailing address
24 FRANKEL BLVD, MERRICK, NY 11566-4028
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
046061
NY
Other
Enumeration date
09/07/2020
Last updated
12/16/2020
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