Gallagher, David Jason

Gallagher, David Jason is an individual health care provider with primary practice located at 33 Mitchell Ave Suite G-50, Binghamton NY 13903-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gallagher, David Jason can be contacted via phone (607) 771-2220.

Contact Information

Primary practice address
33 Mitchell Ave Suite G-50 Binghamton NY 13903-1619
Phone: (607) 771-2220
Fax: (607) 771-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 246979 New York

Profile Details

NPI number 1104090232
LBN Legal business name Gallagher, David Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104090232 NPPES
New York MEDICAID 03355662

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