Healthcare Provider Details

I. General information

NPI: 1164428504
Provider Name (Legal Business Name): CHRISTINE GALANTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CHURCH ST
FREEPORT NY
11520-3833
US

IV. Provider business mailing address

114 CHURCH ST
FREEPORT NY
11520-3833
US

V. Phone/Fax

Practice location:
  • Phone: 516-868-3030
  • Fax:
Mailing address:
  • Phone: 516-868-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF405906
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF303616
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: