Provider Demographics
NPI:1033710462
Name:GALAYEV, ALEXANDER (RN)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:GALAYEV
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 EMMONS AVE APT 312
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1133
Mailing Address - Country:US
Mailing Address - Phone:917-415-3996
Mailing Address - Fax:
Practice Address - Street 1:3235 EMMONS AVE APT 312
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1133
Practice Address - Country:US
Practice Address - Phone:917-415-3996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY563826163W00000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty