Provider Demographics
NPI:1033656616
Name:GALESE, WILLIAM J (LIFEGUARD-EMT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:GALESE
Suffix:
Gender:M
Credentials:LIFEGUARD-EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15694 STATE ROUTE 193
Mailing Address - Street 2:
Mailing Address - City:MANNSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13661
Mailing Address - Country:US
Mailing Address - Phone:609-200-0480
Mailing Address - Fax:
Practice Address - Street 1:1839 COUNTY RD 565
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07418-1048
Practice Address - Country:US
Practice Address - Phone:609-200-0480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X, 376K00000X, 146N00000X, 372600000X, 374U00000X
NJ146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide