Healthcare Provider Details

I. General information

NPI: 1952238313
Provider Name (Legal Business Name): VERNY BRYAN ALVARADO-GALGANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10321 NORTHERN BLVD
CORONA NY
11368-1136
US

IV. Provider business mailing address

11 GRANADA CRES APT 12
WHITE PLAINS NY
10603-1240
US

V. Phone/Fax

Practice location:
  • Phone: 929-227-6147
  • Fax:
Mailing address:
  • Phone: 315-436-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number016522-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: