Gallagher, Kevin
Gallagher, Kevin is an individual health care provider with primary practice located at 4417 Vestal Parkway East Suite 201, Vestal NY 13850-3556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gallagher, Kevin can be contacted via phone (607) 770-7365.Contact Information
Primary practice address
4417 Vestal Parkway East Suite 201
Vestal NY 13850-3556
Phone: (607) 770-7365
Fax: (607) 798-1835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 189859-1 | New York |
Profile Details
| NPI number | 1003817057 |
|---|---|
| LBN Legal business name | Gallagher, Kevin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Sep 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003817057 | NPPES |
| New York | MEDICAID | 01348874 |
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