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General NPI Number Information
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NPI Number | 1821269820
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Entity Type | Organization
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Legal Business Name | DR GARY GALANTE O D P C
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 50 SCHOOL ST
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City | GLEN COVE
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State | NY
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Zip | 11542-2534
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Country | US
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Telephone | 516-676-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 50 SCHOOL ST
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City | GLEN COVE
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State | NY
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Zip | 11542-2534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY A GALANTE
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Credential | O.D.
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Telephone | 516-676-4561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TUV4403
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License Number State | NY
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