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Contact Information

ROBERT GALLER, D.O., M.P.H.
496 COUNTY ROAD 111
BUILDING D
MANORVILLE, NY11949
 Phone: 631-405-3245
 Fax: 631-281-1420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT GALLER · (Male)

NPI Number 1639107451
Status Active
Credentials D.O., M.P.H.
Entity Individual
Enumeration date 06/29/2006
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 208682
  • NY Medicaid 02396936
  • NY Other 7247422 AETNA
  • NY Other 6X8981 EMPIRE BC.BS
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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