Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 019380 | NY |
Y | 103TC0700X | Clinical Psychologist | 019380 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 019380 | NY |
NPI | 1063661353 |
---|---|
Provider Name | Dr. Robert P Galligan |
First Address | Brooklyn, NY 11231-4008 |
Second Address | Brooklyn, NY 11215-1402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 16/11/2011 |