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Individual

MRS. JANET MARIE GALICZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
5 KNIGHT CT, KINGS PARK, NY 11754-2013
(631) 361-8604
(631) 361-8604
Mailing address
5 KNIGHT CT, KINGS PARK, NY 11754-2013
(631) 361-8604
(631) 361-8604

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3033051
NY

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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