Individual
JOHN F GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 UNION BLVD, WEST ISLIP, NY 11795
(631) 321-6801
(631) 321-3869
Mailing address
580 UNION BLVD, WEST ISLIP, NY 11795
(631) 321-6801
(631) 321-3869
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1247381
NY
2086S0129X
Vascular Surgery Physician
Primary
1247381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00717886
—
NY
Enumeration date
07/21/2006
Last updated
08/30/2011
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