Basic Information
Provider Information
NPI: 1285940676
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALEOTAFIORE
FirstName: LAURA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 132 ROCKAWAY AVE
Address2:  
City: GARDEN CITY
State: NY
PostalCode: 115301416
CountryCode: US
TelephoneNumber: 5165786668
FaxNumber:  
Practice Location
Address1: 2001 MARCUS AVE
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110421011
CountryCode: US
TelephoneNumber: 7184707000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2010
LastUpdateDate: 08/24/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF336311-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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