Provider Demographics
NPI:1598347908
Name:GALLAGHER, EMILY C (PA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:GALLAGHER
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Gender:
Credentials:PA
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Mailing Address - Street 1:100 NICOLLS RD
Mailing Address - Street 2:HSC T12 RM 080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8122
Mailing Address - Country:US
Mailing Address - Phone:631-444-1116
Mailing Address - Fax:631-444-1535
Practice Address - Street 1:2 RIVER FARMS LN
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-1992
Practice Address - Country:US
Practice Address - Phone:401-626-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-25
Last Update Date:2025-04-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical