Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 256225 | NY |
N | 111NI0900X | Internist | 256225 | NY |
N | 207R00000X | Internist | 374144-1205 | UT |
N | 111NI0900X | Internist | 374144-1205 | UT |
N | 207RC0000X | Internist - Cardiovascular Disease | 24748 | WV |
Y | 207RC0000X | Internist - Cardiovascular Disease | 256225 | NY |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 24748 | WV |
NPI | 1215078217 |
---|---|
Provider Name | James Daniel Gallagher |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2007 |
Last Update Date | 27/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03217301 | (05) | NY |
3810023073 | (05) | WV |