Individual
EMILY CARLINE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 NICOLLS RD RM 80, STONY BROOK, NY 11794-1992
(631) 444-1116
(631) 444-1535
Mailing address
100 NICOLLS RD, HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1116
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
07/02/2025
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