Dr. Weiner & Dr. Gallo Medical Practice Pllc | |
2352 Ralph Ave Brooklyn NY 11234-5515 | |
(718) 251-0200 | |
(718) 209-5697 |
Full Name | Dr. Weiner & Dr. Gallo Medical Practice Pllc |
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Speciality | Family Medicine |
Location | 2352 Ralph Ave, Brooklyn, New York |
Authorized Official Name and Position | Dawn M Gallo (OWNER) |
Authorized Official Contact | 7182510200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Weiner & Dr. Gallo Medical Practice Pllc 2352 Ralph Ave Brooklyn NY 11234-5515 Ph: (718) 251-0200 | Dr. Weiner & Dr. Gallo Medical Practice Pllc 2352 Ralph Ave Brooklyn NY 11234-5515 Ph: (718) 251-0200 |
NPI Number | 1770758922 |
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Provider Enumeration Date | 04/29/2008 |
Last Update Date | 12/18/2008 |
Medicare PECOS PAC ID | 2567533722 |
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Medicare Enrollment ID | O20080616000201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770758922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 215715 (New York) | Primary |
Provider Name | Dawn M Gallo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750360368 PECOS PAC ID: 0547331712 Enrollment ID: I20080616000218 |
Provider Name | Robert I Weiner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841270444 PECOS PAC ID: 2961573142 Enrollment ID: I20080616000363 |
Provider Name | Nadine Jeune |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558745976 PECOS PAC ID: 4789054289 Enrollment ID: I20221227001849 |
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