Individual
DONNA THERESA GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-2636
Mailing address
506 S MANLIUS ST, FAYETTEVILLE, NY 13066-2114
(315) 637-6385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333010-1
NY
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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