Michelle Gallagher, PHD | |
Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | |
(315) 464-3446 | |
Not Available |
Full Name | Michelle Gallagher |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | Upstate Medical University, Syracuse, 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 |
---|---|---|---|
1265099022 | NPI | - | NPPES |
013537-01 | Other | NY | LIMITED PERMIT TO PRACTICE PSYCHOLOGY IN NEW YORK STATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 013537-01 (New York) | Primary |
Entity Name | Psychiatry Faculty Practice, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881084820 PECOS PAC ID: 9234458530 Enrollment ID: O20150508000699 |
Mailing Address | Practice Location Address |
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Michelle Gallagher, PHD 429 Roosevelt Ave Apt 3, Syracuse, NY 13210-3144 Ph: (917) 685-2284 | Michelle Gallagher, PHD Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 Ph: (315) 464-3446 |
Stephen Albert Maisto, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-6546 | |
Roger Di Pietro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 | |
Dr. Sipho Mbuqe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-3258 | |
Paige C Ouimette, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4317 E Genesee St, Suite 202, Syracuse, NY 13214 Phone: 315-436-5825 | |
Laura Lee Mcintyre, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4842 Fax: 315-464-7564 | |
Gabrielle Adamitis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Dr. Mark Richard Minnick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Syracuse, NY 13204 Phone: 315-425-4400 |