Individual
MICHELLE N GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-6560
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001093
NY
367A00000X
Advanced Practice Midwife
F001093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02659534
—
NY
Enumeration date
09/25/2006
Last updated
08/27/2018
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