Individual
STEPHANIE MARIE GALLITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 12, NEW YORK, NY 10032-3729
(212) 305-2822
(212) 795-1859
Mailing address
161 FORT WASHINGTON AVE FL 12, NEW YORK, NY 10032-3729
(212) 305-2822
(212) 795-1859
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
284479-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
03/17/2018
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