MEDICARE: GALLERIA WELLNESS MEDICAL

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	229782	NY

General Provider Information

NPI Number	:	1750834446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALLERIA WELLNESS MEDICAL

Provider Business Mailing Address
First Line	:	115 E 57TH ST STE 520
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2221
Country	:	US
Telephone Number	:	212-755-5500
Fax Number	:	212-755-0505

Provider Business Practice Location Address
First Line	:	115 E 57TH ST STE 520
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2221
Country	:	US
Telephone Number	:	212-755-5500
Fax Number	:	212-755-0505

Authorized Official
Title or Position	:	CFO
Name	:	DARREN KEITH POLLACK
Credential	:
Telephone Number	:	21217555500

Provider Enumeration Date	:	07/28/2016
Last Update Date	:	07/28/2016

Similar Medicare Providers

1366444259 — ELLEN MELLOW MD
Practice Location Address:

115 E 57TH ST , STE 510
NEW YORK, NY
10022-2221

Practice Phone: 212-838-4114
Practice Fax: 212-838-4145

1336119866 — DR. KERI L PETERSON MD
Practice Location Address:

115 E 57TH ST STE 510
NEW YORK, NY
10022-2221

Practice Phone: 212-583-2962
Practice Fax: 212-744-4072

1487894382 — DR. PETER KINGCHI HON MD
Practice Location Address:

115 E 57TH ST STE 510
NEW YORK, NY
10022-2221

Practice Phone: 212-888-5932
Practice Fax:

1265725600 — GALLERIA MEDICAL ASSOCIATES PLLC
Practice Location Address:

115 E 57TH ST STE 510
NEW YORK, NY
10022-2221

Practice Phone: 718-222-5999
Practice Fax:

1861757650 — DASHA WELLNESS CHIROPRACTIC
Practice Location Address:

115 E 57TH ST STE 520
NEW YORK, NY
10022-2221

Practice Phone: 212-755-5500
Practice Fax: 212-755-0505

1801253281 — CURTIS MCCLELLAND D.C.
Practice Location Address:

115 E 57TH ST STE 520
NEW YORK, NY
10022-2221

Practice Phone: 212-755-5500
Practice Fax: 212-755-0505

Directions to “GALLERIA WELLNESS MEDICAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.