Doctor Name: | DANA GALLACCHI |
NPI Number: | 1184021750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 339279 |
Business Practice Address: | 115 Saratoga Rd Suite 200 Glenville, NY - 123024211 |
Business Phone Number: | 5182433360 |
Business Fax Number: | 5182433375 |
Mailing Address: | 600 Mcclellan St, SCHENECTADY |
State: | NY |
Postal Code: | 123041009 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/26/2014 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 339279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |