MEDICARE: GALAXY MEDICAL PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	2085R0202X	Diagnostic Radiology Physician
4	213E00000X	Podiatrist
5	207RC0000X	Cardiovascular Disease Physician
6	163W00000X	Registered Nurse
7	207RG0100X	Gastroenterology Physician
8	207Q00000X	Family Medicine Physician
9	2084N0400X	Neurology Physician
10	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1487940938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALAXY MEDICAL PC

Provider Business Mailing Address
First Line	:	68 E 131ST ST
Second Line	:	STE 100
City	:	NEW YORK
State	:	NY
Zip	:	10037-2900
Country	:	US
Telephone Number	:	212-281-6800
Fax Number	:	212-281-8601

Provider Business Practice Location Address
First Line	:	68 EAST 131 STREET
Second Line	:	STE 100
City	:	NEW YORK
State	:	NY
Zip	:	10037-2905
Country	:	US
Telephone Number	:	212-281-8600
Fax Number	:	212-281-8601

Authorized Official
Title or Position	:	OWNER
Name	:	YELENA TSYBA
Credential	:	DO
Telephone Number	:	212-281-8600

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	06/02/2014

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Directions to “GALAXY MEDICAL PC ” Practice Location

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