Provider Demographics
NPI:1902300700
Name:GALANTE, ALEXANDER (LAC, RN)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:GALANTE
Suffix:
Gender:M
Credentials:LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 9TH AVE APT 8D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5717
Mailing Address - Country:US
Mailing Address - Phone:212-217-1354
Mailing Address - Fax:
Practice Address - Street 1:280 9TH AVE APT 8D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5717
Practice Address - Country:US
Practice Address - Phone:646-373-4753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001149171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty