Provider Demographics
NPI:1609199785
Name:GALFANO, NINA SUSANNE (MA, TSSLD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:SUSANNE
Last Name:GALFANO
Suffix:
Gender:F
Credentials:MA, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 FORT WASHINGTON AVE APT 5D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1919
Mailing Address - Country:US
Mailing Address - Phone:914-466-9211
Mailing Address - Fax:
Practice Address - Street 1:3250 WESTCHESTER AVE STE 108
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4500
Practice Address - Country:US
Practice Address - Phone:718-597-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist