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NPI Code Detail

MEDICARE: MS. DINA GALANIS

MEDICARE: MS. DINA GALANIS
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
1183500000XPharmacist28RI03040500NJ

Other Identifiers

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

General Provider Information

NPI Number : 1407174303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DINA GALANIS
Provider Business Mailing Address
First Line : 30 KINGSLAND RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07014-1904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 KINGSLAND RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07014-1904
Country : US
Telephone Number : 973-330-0003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 04/19/2011

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