Healthcare Provider Details

I. General information

NPI: 1770140220
Provider Name (Legal Business Name): ANAHI TERESA GALANTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3512 QUENTIN RD
BROOKLYN NY
11234-4244
US

IV. Provider business mailing address

3512 QUENTIN RD
BROOKLYN NY
11234-4244
US

V. Phone/Fax

Practice location:
  • Phone: 718-854-8370
  • Fax: 855-688-6746
Mailing address:
  • Phone: 718-854-8370
  • Fax: 855-688-6746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087946
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: