Individual
MS. KERRY WALSH-GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
UNIVERSITY HOSPITAL L5, STONY BROOK, NY 11794
(631) 444-2585
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F350127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02054699
—
NY
Enumeration date
10/06/2006
Last updated
02/25/2013
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