| Doctor Name: | MR. DENNIS P. GALLO |
| NPI Number: | 1235250838 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, CLINICAL PSYCHO |
| License Number: | 004691 |
| Business Practice Address: | 104 Harriet Road North Babylon, NY - 117034705 |
| Business Phone Number: | 6314222962 |
| Business Fax Number: | 6314222962 |
| Mailing Address: | 104 Harriet Road, NORTH BABYLON |
| State: | NY |
| Postal Code: | 117034705 |
| Phone Number: | 6314222962 |
| Fax Number: | 6314222962 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 004691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |