Provider Demographics
NPI:1114014974
Name:GALARAGA, KORINA GAHOL (DPT)
Entity Type:Individual
Prefix:MS
First Name:KORINA
Middle Name:GAHOL
Last Name:GALARAGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 SOMMERVILLE PL # 1
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-2225
Mailing Address - Country:US
Mailing Address - Phone:917-742-0221
Mailing Address - Fax:
Practice Address - Street 1:3770 103RD ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-5390
Practice Address - Country:US
Practice Address - Phone:917-832-7217
Practice Address - Fax:917-832-7486
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist