Healthcare Provider Details

I. General information

NPI: 1245477595
Provider Name (Legal Business Name): GINA ANN GALANTE CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PRESIDENT ST
HEMPSTEAD NY
11550-4718
US

IV. Provider business mailing address

8 JERRY LN
GLEN COVE NY
11542-3236
US

V. Phone/Fax

Practice location:
  • Phone: 516-292-7111
  • Fax:
Mailing address:
  • Phone: 516-759-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF381761-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: