Individual
MILA GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W 22ND ST, DEER PARK, NY 11729-4812
(516) 633-0788
Mailing address
212 W 22ND ST, DEER PARK, NY 11729-4812
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
623046-01
NY
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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