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Organization

GALLERIA WELLNESS MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARREN KEITH POLLACK (CFO)
21217555500
Entity
Organization

Contact information

Practice address
115 E 57TH ST STE 520, NEW YORK, NY 10022-2221
(212) 755-5500
(212) 755-0505
Mailing address
115 E 57TH ST STE 520, NEW YORK, NY 10022-2221
(212) 755-5500
(212) 755-0505

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
229782
NY

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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