MEDICARE: DR. JOSEPH GALLO MD

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
1	207RA0401X	Addiction Medicine (Internal Medicine) Physician	127749	NY
2	207R00000X	Internal Medicine Physician	127749	NY
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	127749	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1720059975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GALLO MD

Provider Business Mailing Address
First Line	:	825 OAKLEIGH RD
Second Line	:
City	:	NORTH WOODMERE
State	:	NY
Zip	:	11581-2827
Country	:	US
Telephone Number	:	516-791-9365
Fax Number	:	718-270-3822

Provider Business Practice Location Address
First Line	:	7 GOUVERNEUR SLIP EAST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-0000
Country	:	US
Telephone Number	:	212-566-7571
Fax Number	:	347-352-1710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	12/08/2025

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Directions to “ DR. JOSEPH GALLO MD” Practice Location

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