Galleria Wellness Medical

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

229782 Issued in NY

Legal business name

GALLERIA WELLNESS MEDICAL

Practice address

115 E 57TH St Ste 520
New York, NY 10022-2221

Phone

(212) 755-5500

Fax

(212) 755-0505

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Darren Keith Pollack

Title

Cfo

Phone

21217555500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1750834446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222221",
            "telephone_number": "212-755-5500",
            "fax_number": "212-755-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222221",
            "telephone_number": "212-755-5500",
            "fax_number": "212-755-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA WELLNESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "21217555500"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "229782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Nartates Gallegos
• Nancy Hsin-Li Gallen, LAC
• Galleria Medical Associates PLLC
• Galleria Medical Group
• Galleria Pain Management Suite, P.C.
• Gallery 57 Dental
• Elizabeth Galletta
• Joann M Galley, PSY D
• Galli Podiatric Foot and Ankle Associates,P.C
• Gabriela Galli

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.