Individual
EILEEN M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W CARVER ST, SUITE 1, HUNTINGTON, NY 11743-3303
(631) 421-0020
(631) 421-0688
Mailing address
200 W CARVER ST, SUITE 1, HUNTINGTON, NY 11743-3303
(631) 421-0020
(631) 421-0688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01681410
—
NY
Enumeration date
06/13/2008
Last updated
06/13/2008
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