Healthcare Provider Details

I. General information

NPI: 1225594443
Provider Name (Legal Business Name): RALEIGH GALBRAITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 DARTMOUTH ST APT 2
ROCHESTER NY
14607-2842
US

IV. Provider business mailing address

95 DARTMOUTH ST APT 2
ROCHESTER NY
14607-2842
US

V. Phone/Fax

Practice location:
  • Phone: 585-750-6265
  • Fax:
Mailing address:
  • Phone: 585-750-6265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number741134
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: