Healthcare Provider Details

I. General information

NPI: 1891870580
Provider Name (Legal Business Name): ARISTEA S GALANOPOULOU MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MMC - DEPT. OF NEUROLOGY 111 EAST 210TH STREET
BRONX NY
10467
US

IV. Provider business mailing address

2600 NETHERLAND AVE APT 3007
BRONX NY
10463-1692
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4378
  • Fax:
Mailing address:
  • Phone: 718-920-4378
  • Fax: 718-652-3810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number234323
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number234323
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number234323
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: