Individual
LISA GALOFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
STONY BROOK MEDICINE EM 100 NICOLLS RD, HSC LEVEL 4 ROOM 080, STONY BROOK, NY 11794-0001
(631) 444-2478
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2478
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306994
NY
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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