Individual
JOHN R. GALLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10608 JAMAICA AVE, GALLUB SERVICES FOR TBI, RICHMOND HILL, NY 11418-2015
(718) 850-5553
Mailing address
10608 JAMAICA AVE, GALLUB SERVICES FOR TBI, RICHMOND HILL, NY 11418-2015
(718) 850-5553
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011773
NY
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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