Gallagher, Kevin

Gallagher, Kevin is an individual health care provider with primary practice located at 4417 Vestal Parkway East Suite 201, Vestal NY 13850-3556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gallagher, Kevin can be contacted via phone (607) 770-7365.

Contact Information

Primary practice address
4417 Vestal Parkway East Suite 201 Vestal NY 13850-3556
Phone: (607) 770-7365
Fax: (607) 798-1835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 189859-1 New York

Profile Details

NPI number 1003817057
LBN Legal business name Gallagher, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 19th, 2012 - about 13 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 1003817057 NPPES
New York MEDICAID 01348874

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