Individual provider · Type 1 NPI

Maria Gallup

Licensed Practical Nurse · Syracuse, NY

NPI number 1649134883 Active

Practice location

1011 W Genesee St Ste 3
Syracuse, NY 13204-2329

Call (315) 476-0600 Map

Mailing address

379 Village Blvd N
Baldwinsville, NY 13027-3068

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	267722 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1649134883

Maria Gallup's National Provider Identifier is 1649134883, issued on Dec 11, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 11, 2025.