Healthcare Provider Details
I. General information
NPI: 1972731198
Provider Name (Legal Business Name): LIBI ZAHAVA GALMER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2009
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7206 NORTHERN BLVD
JACKSON HEIGHTS NY
11372-1049
US
IV. Provider business mailing address
9610 METROPOLITAN AVE
FOREST HILLS NY
11375-6625
US
V. Phone/Fax
- Phone: 718-670-6824
- Fax:
- Phone: 718-286-3895
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081S0010X |
| Taxonomy | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | 264116 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204C00000X |
| Taxonomy | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| License Number | 264116 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: