Provider Demographics
NPI:1144569062
Name:GALLOPING HILL SURGICAL, LLC
Entity Type:Organization
Organization Name:GALLOPING HILL SURGICAL, LLC
Other - Org Name:ALLCARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-244-4660
Mailing Address - Street 1:125 NEWTOWN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4314
Mailing Address - Country:US
Mailing Address - Phone:800-244-4660
Mailing Address - Fax:516-390-2877
Practice Address - Street 1:8848 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-1313
Practice Address - Country:US
Practice Address - Phone:215-331-1819
Practice Address - Fax:866-866-1056
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASSAIC HEALTHCARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-13
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000008998332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies