Individual
ROBERTO GALAO MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 FIFTH AVENUE. BOX 1028, NEW YORK, NY 10029
(212) 659-6800
(212) 659-6818
Mailing address
1190 FIFTH AVE, NEW YORK, NY 10029
(212) 659-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00386900
NJ
363L00000X
Nurse Practitioner
Primary
430476
NY
363LA2100X
Acute Care Nurse Practitioner
26NJ00386900
NJ
363LA2100X
Acute Care Nurse Practitioner
430476
NY
Other
Enumeration date
06/15/2012
Last updated
04/25/2016
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