Provider Demographics
NPI:1114048709
Name:ORLOFF, GALINA
Entity Type:Individual
Prefix:MRS
First Name:GALINA
Middle Name:
Last Name:ORLOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GALINA
Other - Middle Name:
Other - Last Name:ORLOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OPTICIAN
Mailing Address - Street 1:3120 BAINBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3958
Mailing Address - Country:US
Mailing Address - Phone:718-655-6040
Mailing Address - Fax:718-644-0348
Practice Address - Street 1:3083 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3904
Practice Address - Country:US
Practice Address - Phone:718-655-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006909156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician