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NPI Code Detail

MEDICARE: JUSTIN B GALYNSKY

MEDICARE: JUSTIN B GALYNSKY
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
1174400000XSpecialist920837637NY

General Provider Information

NPI Number : 1164385019
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN B GALYNSKY
Provider Business Mailing Address
First Line : 1311 BRIGHTWATER AVE APT 4K
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1311 BRIGHTWATER AVE APT 4K
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5928
Country : US
Telephone Number : 646-427-8157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ JUSTIN B GALYNSKY ” Practice Location

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