Kevin Gallagher

NPI #1003817057 in Vestal, New York

Provider Information

NPI Number: 1003817057
Entity Type: Individual
Name: Kevin Gallagher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Aug 2, 2005
Last Updated: Sep 19, 2012

Practice Location

Address: 4417 VESTAL PARKWAY EAST
Address 2: SUITE 201
City: Vestal
State: New York
ZIP Code: 13850-3556
Phone: (607) 770-7365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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