Basic Information
Provider Information
NPI: 1689204679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALEOTAFIORE
FirstName: GIANNA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 533 HERBERT LN
Address2:  
City: BRICK
State: NJ
PostalCode: 087241046
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5 MARINE VIEW PLZ STE 405
Address2:  
City: HOBOKEN
State: NJ
PostalCode: 070305722
CountryCode: US
TelephoneNumber: 2016838058
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/19/2020
LastUpdateDate: 01/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 01/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X46TR00897400NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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