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1851011092
RYAN NICHOLAS GALLO
SMITHTOWN, NY
NPI
1851011092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 117573-01)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Mr. RYAN NICHOLAS GALLO MHC-LP
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787-5011
Phone number: 631-371-3825
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Mailing Address
Mr. RYAN NICHOLAS GALLO MHC-LP
124 MCCLELLAN AVE
MINEOLA, NY 11501-1860
Phone number: 631-897-2119
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