Healthcare Provider Details

I. General information

NPI: 1619987211
Provider Name (Legal Business Name): WHITE PLAINS RD MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 WHITE PLAINS RD
BRONX NY
10467
US

IV. Provider business mailing address

3050 WHITE PLAINS RD
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-655-5444
  • Fax: 718-655-5353
Mailing address:
  • Phone: 718-655-5444
  • Fax: 718-655-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SERGEY GALINSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 718-655-5444