Individual
DANIELLE TIA GALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 3RD AVE STE 202, NEW YORK, NY 10128-3459
(212) 860-8500
Mailing address
15 KINSELLA ST, DIX HILLS, NY 11746-6507
(631) 332-9523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10329201
NY
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
06/29/2026
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