Individual
MRS. BRIDGET DARA GALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
8 EAST AVE, GLEN COVE, NY 11542-3917
(631) 672-9043
Mailing address
8 EAST AVE, GLEN COVE, NY 11542-3917
(631) 672-9043
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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