Provider Demographics
NPI:1104932797
Name:GALLIN, PAMELA FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:FRANCES
Last Name:GALLIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:635 WEST 165 ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-5407
Mailing Address - Fax:212-305-8082
Practice Address - Street 1:635 WEST 165 ST
Practice Address - Street 2:SUITE 224
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-5407
Practice Address - Fax:212-305-8082
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY140770207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology