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NPI 1992950695

NPI 1992950695 : FRITZ A. GALETTE PSYCHOLOGIST PC : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1992950695
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRITZ A. GALETTE PSYCHOLOGIST PC 
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Dates
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    Enumeration Date     |    11/21/2008
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    Last Update Date     |    11/21/2008
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Provider Practice Location Address
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    Address Line         |    314 SEAVIEW AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10305-2246
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    Country              |    US
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    Telephone            |    646-265-2274
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    Fax                  |    646-349-2307
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Provider Business Mailing Address
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    Address Line         |    399 SAINT PAULS AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10304-2127
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    Country              |    US
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    Telephone            |    646-265-2274
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    Fax                  |    646-349-2307
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. FRITZ  GALETTE 
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    Credential           |    PHD
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    Telephone            |    646-265-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    015060
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    License Number State |    NY
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