Provider Demographics
NPI:1083103162
Name:GALLEN, NANCY HSIN-LI (LAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:HSIN-LI
Last Name:GALLEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:HSIN-LI
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 W END AVE APT 1201
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7956
Mailing Address - Country:US
Mailing Address - Phone:347-497-2008
Mailing Address - Fax:
Practice Address - Street 1:21 W END AVE APT 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7956
Practice Address - Country:US
Practice Address - Phone:347-497-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006261171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist