Provider Demographics
NPI:1316671530
Name:DR. HANNAH GALE
Entity type:Organization
Organization Name:DR. HANNAH GALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC HEAD
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:203-691-6798
Mailing Address - Street 1:234 SOUNDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-4242
Mailing Address - Country:US
Mailing Address - Phone:203-562-2275
Mailing Address - Fax:
Practice Address - Street 1:506 BLAKE ST STE 2
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1287
Practice Address - Country:US
Practice Address - Phone:203-691-6798
Practice Address - Fax:475-238-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center