Ivan Gallegos, MD

NPI #1649659327 in Central Islip, New York

Provider Information

NPI Number: 1649659327
Entity Type: Individual
Name: Ivan Gallegos, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: May 27, 2015
Last Updated: May 27, 2015

Practice Location

Address: 320 CARLETON AVE
Address 2: SUITE 7000
City: Central Islip
State: New York
ZIP Code: 11722-4506
Phone: (631) 517-9261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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