Healthcare Provider Details

I. General information

NPI: 1457243677
Provider Name (Legal Business Name): LINDSAY GALLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HARBOR BLVD APT 1005S
WEEHAWKEN NJ
07086-7581
US

IV. Provider business mailing address

100 HARBOR BLVD APT 1005S
WEEHAWKEN NJ
07086-7581
US

V. Phone/Fax

Practice location:
  • Phone: 516-502-8743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NJ15602700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR25340800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: