Provider Demographics
NPI:1255695086
Name:DELANEY, GALE (MED, COMS)
Entity Type:Individual
Prefix:MS
First Name:GALE
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MED, COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1920
Mailing Address - Country:US
Mailing Address - Phone:914-242-1733
Mailing Address - Fax:
Practice Address - Street 1:45 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-1920
Practice Address - Country:US
Practice Address - Phone:914-242-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5438 COMS174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist