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Individual

MRS. CAROLYN GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
23 BONNETT AVE, LARCHMONT, NY 10538-3204
(914) 834-0244
Mailing address
23 BONNETT AVE, LARCHMONT, NY 10538-3204
(914) 834-0244

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005800
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005800
HIP
NY
01
2511948
UNITED
NY
01
3800088
AETNA
NY
01
41942230002
CIGNA
NY
01
7606635
AETNA
NY
01
8099759
GHI
NY
01
9513E1
EMPIRE BLUE CROSS
NY
01
P3561724
OXFORD
NY
01
VC5800
ATLANTIS
NY
Enumeration date
01/29/2007
Last updated
08/16/2011
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