MEDICARE: GALINA STOLINA M.D.

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	2084P0800X	Psychiatry Physician	200841	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174529622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALINA STOLINA M.D.

Provider Business Mailing Address
First Line	:	380 W PENN ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3935
Country	:	US
Telephone Number	:	516-295-7439
Fax Number	:	516-295-7467

Provider Business Practice Location Address
First Line	:	1800 E 18TH ST APT A1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2156
Country	:	US
Telephone Number	:	347-866-6573
Fax Number	:

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/06/2023

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