National Provider Identifier
Dennis Neal Gallivan
Dennis Neal Gallivan is listed in the NPPES registry with a primary specialty of Optician in Lockport, NY and a listed phone number of (716) 438-2906.
Profile Overview
- NPI
- 1447078993
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 02, 2024
- Last Updated
- October 02, 2024
Practice Location
- 5735 S Transit RD
- Lockport, NY 14094-5864
Phone: (716) 438-2906
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1447078993
- Entity Type
- Individual
- Last Name
- Gallivan
- First Name
- Dennis
- Middle Name
- Neal
- Mailing Street Address
- 5735 S Transit RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5864
- Mailing Country
- US
- Mailing Phone
- (716) 438-2906
- Mailing Fax
- (716) 433-4021
- Practice Street Address
- 5735 S Transit RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5864
- Practice Country
- US
- Practice Phone
- (716) 438-2906
- Practice Fax
- (716) 433-4021
- Enumeration Date
- October 02, 2024
- Last Updated
- October 02, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)