Provider Demographics
NPI:1508391400
Name:GALEF, NICOLAS (PSYD)
Entity Type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:GALEF
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:GALEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:19 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3932
Mailing Address - Country:US
Mailing Address - Phone:914-523-2337
Mailing Address - Fax:
Practice Address - Street 1:51 FIFTH AVENUE
Practice Address - Street 2:PROFESSIONAL SUITE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1000
Practice Address - Country:US
Practice Address - Phone:914-341-2628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY025422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program