Individual
MRS. MARIE JEAN GALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1145 TARGEE ST, STATEN ISLAND, NY 10304-4323
(718) 668-3600
Mailing address
5 DURGES ST, STATEN ISLAND, NY 10304-4204
(718) 667-7134
(718) 667-7134
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000877-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01992323
—
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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