Provider Demographics
NPI:1255818191
Name:GALLAGHER, RITA CRYSTAL (MSW)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:CRYSTAL
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3431
Mailing Address - Country:US
Mailing Address - Phone:914-255-5292
Mailing Address - Fax:
Practice Address - Street 1:31 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-3431
Practice Address - Country:US
Practice Address - Phone:914-255-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker