Individual
AILEEN M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
81 FORT SALONGA RD STE C, NORTHPORT, NY 11768-2889
(631) 380-3820
Mailing address
36 WAYNE CT, NORTHPORT, NY 11768-2342
(631) 754-3764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012796-1
NY
225100000X
Physical Therapist
012796-1
—
Other
Enumeration date
05/30/2019
Last updated
11/18/2021
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