Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F300577 | NY |
NPI | 1013939974 |
---|---|
Provider Name | Ms. Patricia Mary Galea |
First Address | Johnstown, NY 12095-2817 |
Second Address | Gloversville, NY 12078-3126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38641P | (02) | NY |