MEDICARE: PATRICIA A GALWAY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	279721-1	NY

General Provider Information

NPI Number	:	1588933329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A GALWAY RN

Provider Business Mailing Address
First Line	:	27A SHELTER ROCK RD
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-3953
Country	:	US
Telephone Number	:	516-267-7460
Fax Number	:	516-267-7462

Provider Business Practice Location Address
First Line	:	27A SHELTER ROCK RD
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-3953
Country	:	US
Telephone Number	:	516-267-7460
Fax Number	:	516-267-7462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2011
Last Update Date	:	12/23/2011

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