Doctor Name: | KAREN M GALLAHER |
NPI Number: | 1871644187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F320036-1 |
Business Practice Address: | 418 S Hamilton St Suite 109 Painted Post, NY - 148709705 |
Business Phone Number: | 6079362089 |
Business Fax Number: | 6079368176 |
Mailing Address: | 571 Saint Josephs Blvd Fl 2, ELMIRA |
State: | NY |
Postal Code: | 149013230 |
Phone Number: | 6072712050 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | F320036-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |