Galleria Medical Associates PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GALLERIA MEDICAL ASSOCIATES PLLC

Practice address

115 E 57TH St Ste 510
New York, NY 10022-2221

Phone

(718) 222-5999

NPI assigned

May 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominick Cannavo

Title

Treasurer

Phone

(718) 222-5999

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1265725600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222221",
            "telephone_number": "718-222-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "CANNAVO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-222-5999"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1801817275",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1518024678",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1689738577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariel Ann Gallego, PH.D.
• Jose Gallegos, MD
• Lupe Beatrize Gallegos, RPA-C
• Marissa Nartates Gallegos
• Nancy Hsin-Li Gallen, LAC
• Galleria Medical Group
• Galleria Pain Management Suite, P.C.
• Galleria Wellness Medical
• Gallery 57 Dental
• Elizabeth Galletta

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.