Jenelle M Gallardo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005838 Issued in NY

Practice address

600 S Wilbur Ave
Syracuse, NY 13204-2730

Phone

(315) 432-0351

Fax

(315) 476-7446

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619007259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FERN RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192217",
            "telephone_number": "315-243-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042730",
            "telephone_number": "315-432-0351",
            "fax_number": "315-476-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "JENELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gajewski
• Leslie Gale
• Donna Theresa Gallagher
• Michelle Gallagher, PH.D.
• Stephanie Marie Gallagher, P.A.-C.
• Ian Felipe Gallegos Dargon, MD
• Terri G Gallishaw, LPN
• Michael Gallo Jr., FNP-BC
• Erika A Galloway, RN
• Jessica Galloway

• Occupational Therapy Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.