# GB RN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aeon Aesthetics Gynecology, Aeon Aesthetics & Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366036782
- **Authorized official:** GALO BURBANO RN (OWNER)
- **Authorized official phone:** (631) 923-3001

## Contact information

- **Practice address:** 33 WALT WHITMAN RD STE 232, HUNTINGTON STATION, NY 11746-4293
- **Practice address phone:** (631) 923-3001
- **Practice address fax:** (631) 923-1052
- **Mailing address:** 33 WALT WHITMAN RD STE 232, HUNTINGTON STATION, NY 11746-4293
- **Mailing address phone:** (631) 923-3001
- **Mailing address fax:** (631) 923-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/25/2021
- **Last updated:** 02/25/2021