Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N006863-1 | NY |
Y | 222Z00000X | Podiatrist | N006863-1 | NY |
NPI | 1023428976 |
---|---|
Provider Name | Dr. Michael Galoyan |
First Address | Middle Village, NY 11379-2738 |
Second Address | Middle Village, NY 11379-2738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2014 |
Last Update Date | 24/04/2018 |