Provider Demographics
NPI:1174848857
Name:GALVI N, PATRICIA MARY (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARY
Last Name:GALVI N
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 74TH ST
Mailing Address - Street 2:APT 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3618
Mailing Address - Country:US
Mailing Address - Phone:646-756-0278
Mailing Address - Fax:
Practice Address - Street 1:200 E 74TH ST
Practice Address - Street 2:APT 2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3618
Practice Address - Country:US
Practice Address - Phone:646-756-0278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192047207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY192047OtherLIC 192047