Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 320036 | NY |
N | 363LC1500X | Nurse Practitioner - Community Health | F320036-1 | NY |
NPI | 1871644187 |
---|---|
Provider Name | Karen M Gallaher |
First Address | Elmira, NY 14901-3230 |
Second Address | Painted Post, NY 14870-9705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 10/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02244159 | (05) | NY |