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NPI Code Detail

MEDICARE: MR. SEAMUS RONAN GALVIN N.P.

MEDICARE: MR. SEAMUS RONAN GALVIN N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF401258-1NY
2101YM0800XMental Health Counselor461868NY

General Provider Information

NPI Number : 1780984153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAMUS RONAN GALVIN N.P.
Provider Business Mailing Address
First Line : 54 HYATT AVE
Second Line :
City : YONKERS
State : NY
Zip : 10704-4311
Country : US
Telephone Number : 914-473-2640
Fax Number :
Provider Business Practice Location Address
First Line : 1910 ARTHUR AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-6305
Country : US
Telephone Number : 914-473-2640
Fax Number : 914-473-2640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 03/17/2018

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