Provider Demographics
NPI:1417022187
Name:GALUST, VALENTINA (RD)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:GALUST
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6801
Mailing Address - Country:US
Mailing Address - Phone:718-951-0333
Mailing Address - Fax:718-951-3774
Practice Address - Street 1:1915 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6801
Practice Address - Country:US
Practice Address - Phone:718-951-0333
Practice Address - Fax:718-951-3774
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9679E1Medicare PIN