Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MB09675000 | NJ |
Y | 208600000X | Surgeon | 25MB09675000 | NJ |
N | 2086S0102X | Surgical Critical Care | 25MB09675000 | NJ |
N | 2086S0127X | Trauma Surgeon | 25MB09675000 | NJ |
NPI | 1316364144 |
---|---|
Provider Name | Dr. Dina Galaktionova |
First Address | Paterson, NJ 07503-2621 |
Second Address | Paterson, NJ 07503-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2014 |
Last Update Date | 18/08/2016 |