Basic Information
| Provider Information | |||||||||
| NPI: | 1245477595 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALANTE | ||||||||
| FirstName: | GINA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 JERRY LN | ||||||||
| Address2: | |||||||||
| City: | GLEN COVE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115423236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5167595624 | ||||||||
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| Practice Location | |||||||||
| Address1: | 201 PRESIDENT ST | ||||||||
| Address2: | |||||||||
| City: | HEMPSTEAD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115504718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162927111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/08/2009 | ||||||||
| LastUpdateDate: | 01/08/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | F381761-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.