Provider Demographics
NPI:1174286967
Name:MAKAROVSKIY, GALYNA
Entity Type:Individual
Prefix:MRS
First Name:GALYNA
Middle Name:
Last Name:MAKAROVSKIY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 E 12TH ST APT 2N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4230
Mailing Address - Country:US
Mailing Address - Phone:718-915-2529
Mailing Address - Fax:
Practice Address - Street 1:2355 E 12TH ST APT 2N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4230
Practice Address - Country:US
Practice Address - Phone:718-915-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026068225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist