Provider Demographics
NPI:1023024205
Name:GALLI, LOUIS C JR (DPM)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:C
Last Name:GALLI
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1R
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-262-4588
Mailing Address - Fax:212-247-1403
Practice Address - Street 1:25 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1R
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-262-4588
Practice Address - Fax:212-247-1403
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002529213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2003669OtherAETNA
P28881OtherBCBS
IC1394OtherHEALTHNET
19904POtherHIP
64933OtherUNITED HEALTH CARE
9521532004OtherCIGNA
NS169OtherOXFORD
P28881Medicare ID - Type Unspecified
9521532004OtherCIGNA