Healthcare Provider Details

I. General information

NPI: 1114262110
Provider Name (Legal Business Name): ANNE GALLENSTEIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2012
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 MAIN ST
HUNTINGTON NY
11743-6917
US

IV. Provider business mailing address

177 MAIN ST
HUNTINGTON NY
11743-6917
US

V. Phone/Fax

Practice location:
  • Phone: 516-313-7964
  • Fax: 516-842-1795
Mailing address:
  • Phone: 516-313-7964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number132181
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8831
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: