Healthcare Provider Details

I. General information

NPI: 1184204307
Provider Name (Legal Business Name): JOAO BAYMA GALVAO NETO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 5TH AVE
BROOKLYN NY
11215-4012
US

IV. Provider business mailing address

425 5TH AVE
BROOKLYN NY
11215-4012
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-7666
  • Fax:
Mailing address:
  • Phone: 212-226-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number334864
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: