Individual
MRS. LISE GALESTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 LAFAYETTE AVE, STATEN ISLAND, NY 10301-1219
(718) 448-9000
Mailing address
6136 170TH ST APT M4, FRESH MEADOWS, NY 11365-1957
(187) 090-9407
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
311214
NY
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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