Provider Demographics
NPI:1518992643
Name:GALINSKY, ILENE ANN (ADT NURSE PRACTIONER)
Entity Type:Individual
Prefix:MS
First Name:ILENE
Middle Name:ANN
Last Name:GALINSKY
Suffix:
Gender:F
Credentials:ADT NURSE PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132
Mailing Address - Country:US
Mailing Address - Phone:617-469-5399
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST # DL189B
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3902
Practice Address - Fax:617-632-6389
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA189626207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA189626OtherBOARD OF NURSING
MA038391121674070OtherANCC