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Individual

MRS. MARLENA GALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
155 W MERRICK RD STE 101, FREEPORT, NY 11520-3743
(516) 379-3139
Mailing address
155 W MERRICK RD STE 101, FREEPORT, NY 11520-3743

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306881-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340955-1
NY

Other

Enumeration date
11/21/2014
Last updated
03/06/2019
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