Healthcare Provider Details

I. General information

NPI: 1801400221
Provider Name (Legal Business Name): BRENDA GALDAMEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S MAIN ST
SPRING VALLEY NY
10977-4917
US

IV. Provider business mailing address

18 N ROUTE 303
CONGERS NY
10920-1714
US

V. Phone/Fax

Practice location:
  • Phone: 845-499-5496
  • Fax:
Mailing address:
  • Phone: 845-499-5496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360402
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: