Individual provider · Type 1 NPI

Carly Jane Gallow

Addiction (Substance Use Disorder) Registered Nurse · Ithaca, NY

NPI number 1275455339 Active

Practice location

334 W State St
Ithaca, NY 14850-5432

Fax (607) 273-1277

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XN06050 (NY)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1275455339

Carly Jane Gallow's National Provider Identifier is 1275455339, issued on Jul 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Ithaca, NY. The record was last updated on Jul 29, 2026.