Healthcare Provider Details

I. General information

NPI: 1417022187
Provider Name (Legal Business Name): VALENTINA GALUST R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 OCEAN AVE
BROOKLYN NY
11230-6801
US

IV. Provider business mailing address

1915 OCEAN AVE
BROOKLYN NY
11230-6801
US

V. Phone/Fax

Practice location:
  • Phone: 718-951-0333
  • Fax: 718-951-3774
Mailing address:
  • Phone: 718-951-0333
  • Fax: 718-951-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: