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Contact Information

JENNIFER A GALLO
274. WILLOWBROOK ROAD
STATEN ISLAND, NY10302
 Phone: 917-825-4501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JENNIFER A GALLO · (Female)

NPI Number 1356027791
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2023
Last updated 06/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • License # 1453607201
Hospital affiliation(s) Not Available
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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