Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 210370-1 | NY |
NPI | 1194792291 |
---|---|
Provider Name | Dr. Mary Patricia Gallagher |
First Address | New York, NY 10032-3822 |
Second Address | New York, NY 10032-3822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 12/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02354314 | (05) | NY |
107016 | (02) | NY |