MEDICARE: ANNE GALLENSTEIN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	132181	AZ
2	102L00000X	Psychoanalyst
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	8831	AZ

General Provider Information

NPI Number	:	1114262110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE GALLENSTEIN NP

Provider Business Mailing Address
First Line	:	177 MAIN ST
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-6917
Country	:	US
Telephone Number	:	516-313-7964
Fax Number	:

Provider Business Practice Location Address
First Line	:	177 MAIN ST
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-6917
Country	:	US
Telephone Number	:	516-313-7964
Fax Number	:	516-842-1795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2012
Last Update Date	:	11/25/2025

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