Kevin Gallagher, | |
4417 Vestal Parkway East, Suite 201, Vestal, NY 13850-3556 | |
(607) 770-7365 | |
(607) 798-1835 |
Full Name | Kevin Gallagher |
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Gender | Male |
Speciality | Internal Medicine |
Location | 4417 Vestal Parkway East, Vestal, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003817057 | NPI | - | NPPES |
01348874 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 189859-1 (New York) | Primary |
Entity Name | United Health Services Hospitals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Mailing Address | Practice Location Address |
---|---|
Kevin Gallagher, 346 Grand Avenue, Johnson City, NY 13790-2558 Ph: (607) 729-8156 | Kevin Gallagher, 4417 Vestal Parkway East, Suite 201, Vestal, NY 13850-3556 Ph: (607) 770-7365 |
Dr. Sreekanth Reddy Kondareddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-8833 | |
Michael Yu Zhang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7365 Fax: 607-729-5882 | |
Henda Bouali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Parkway East, Suite 202, Vestal, NY 13850 Phone: 607-770-7365 Fax: 607-729-5882 | |
Dr. Mario Capparuccini, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-754-5342 Fax: 607-754-5508 | |
Dr. Aditya Sanjeev Pawaskar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-240-2879 Fax: 607-240-2972 | |
Dr. Alvin Greenberg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1020 Vestal Pkwy E, #2, Vestal, NY 13850 Phone: 607-754-5342 Fax: 607-754-5508 |