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NPI Code Detail

MEDICARE: DR. DONNA M GALLAGHER M.D.

MEDICARE: DR. DONNA M GALLAGHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician195919NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558348060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA M GALLAGHER M.D.
Provider Business Mailing Address
First Line : 39 OCEAN AVE
Second Line :
City : BREEZY POINT
State : NY
Zip : 11697-1110
Country : US
Telephone Number : 718-318-8595
Fax Number :
Provider Business Practice Location Address
First Line : 8268 164TH ST
Second Line : QUEEENS HOSPIAL CENTER-DEPT OF RADIOLOGY
City : JAMAICA
State : NY
Zip : 11432-1121
Country : US
Telephone Number : 718-883-4400
Fax Number : 718-883-6198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 03/31/2015

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