Provider Demographics
NPI:1285003855
Name:GALLETTA, AIMEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:GALLETTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7302
Mailing Address - Country:US
Mailing Address - Phone:631-425-8871
Mailing Address - Fax:631-425-8876
Practice Address - Street 1:2 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7302
Practice Address - Country:US
Practice Address - Phone:631-425-8871
Practice Address - Fax:631-425-8876
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist