Individual
ELIZABETH GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25MM00000900
NJ
367A00000X
Advanced Practice Midwife
F001201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM0055
CERTIFICATION NUMBER
NY
Enumeration date
06/05/2007
Last updated
07/08/2014
Update your record
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