Organization
GB RN PC
Active
Other names
Aeon Aesthetics Gynecology, Aeon Aesthetics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
GALO BURBANO RN (OWNER)
(631) 923-3001
Entity
Organization
Contact information
Practice address
33 WALT WHITMAN RD STE 232, HUNTINGTON STATION, NY 11746-4293
(631) 923-3001
(631) 923-1052
Mailing address
33 WALT WHITMAN RD STE 232, HUNTINGTON STATION, NY 11746-4293
(631) 923-3001
(631) 923-1052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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