Provider Demographics
NPI:1225110604
Name:GALLI PODIATRIC FOOT AND ANKLE ASSOCIATES,P.C
Entity Type:Organization
Organization Name:GALLI PODIATRIC FOOT AND ANKLE ASSOCIATES,P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-262-4588
Mailing Address - Street 1:25 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7253
Mailing Address - Country:US
Mailing Address - Phone:212-262-4588
Mailing Address - Fax:212-247-1403
Practice Address - Street 1:25 CENTRAL PARK W
Practice Address - Street 2:SUITE 1R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7253
Practice Address - Country:US
Practice Address - Phone:212-262-4588
Practice Address - Fax:212-247-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002529213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT50804Medicare UPIN
NYP2888-1Medicare ID - Type Unspecified