Healthcare Provider Details

I. General information

NPI: 1891788931
Provider Name (Legal Business Name): ALAN GARELY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST BOX 1174
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

5 E 98TH ST BOX 1174
NEW YORK NY
10029-6501
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-7952
  • Fax: 212-241-4611
Mailing address:
  • Phone: 212-241-7952
  • Fax: 212-241-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number190847
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: