Individual
DANIELA GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(646) 702-6965
Mailing address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(646) 702-6965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24988
NY
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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