Individual provider · Type 1 NPI
Shane Daniel Gallagher, PMHNP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1124541446
Active
Practice location
462 1st Ave
New York, NY 10016-9196
Other practice locations
- 110 Lafayette St, New York, NY 10013-4116 · (212) 369-6757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 703317 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402369 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124541446
Shane Daniel Gallagher, PMHNP's National Provider Identifier is 1124541446, issued on Jul 18, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jul 3, 2018.