Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 130541 | NY |
NPI | 1033132022 |
---|---|
Provider Name | Dr. Marilyn Galler |
First Address | Bronx, NY 10461-3733 |
Second Address | Bronx, NY 10461-3733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00796649 | (05) | NY |
B17661 | (02) | NY |