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NPI Code Detail

MEDICARE: PATRICIA GALLAGHER CRNFA

MEDICARE: PATRICIA GALLAGHER CRNFA
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
1163WR0006XRegistered Nurse First Assistant389483NY

General Provider Information

NPI Number : 1083703326
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA GALLAGHER CRNFA
Provider Business Mailing Address
First Line : 229 WHITEFACE MEMORIAL HWY
Second Line :
City : WILMINGTON
State : NY
Zip : 12997-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 203 OLD MILITARY RD
Second Line :
City : LAKE PLACID
State : NY
Zip : 12946-1738
Country : US
Telephone Number : 518-523-1327
Fax Number : 518-523-9964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 10/16/2020

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Directions to “ PATRICIA GALLAGHER CRNFA” Practice Location

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