1245277680 NPI number — DR. TATYANA GALINSKY OD

Table of content: DR. TATYANA GALINSKY OD (NPI 1245277680)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245277680 NPI number — DR. TATYANA GALINSKY OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GALINSKY
Provider First Name:
TATYANA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245277680
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4420 BEDFORD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11229-4929
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-763-2020
Provider Business Mailing Address Fax Number:
718-763-2024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1944 RALPH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11234-5302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-763-2020
Provider Business Practice Location Address Fax Number:
718-763-2024
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  TUV006578-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 178652 . This is a "CHN PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: VUT006578 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0135950 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02316787 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100232325601 . This is a "AMERICHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2323256 . This is a "EMPIRE PLAN (NYSHIPP)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6C0131 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: C455A3 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3662566 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 11236153 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20-0921881 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 20-0921881 . This is a "METROPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 20-0921881 . This is a "HUMANA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 20-0921881 . This is a "UHC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6555328 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 65020 . This is a "OPTUM HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 770805P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: OP2742 . This is a "EYEMED" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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