Provider Demographics
NPI:1699036434
Name:GALITOS, ELENI (MSED)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:GALITOS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 CAMP AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2847
Mailing Address - Country:US
Mailing Address - Phone:516-771-8468
Mailing Address - Fax:
Practice Address - Street 1:2201 CAMP AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2847
Practice Address - Country:US
Practice Address - Phone:516-771-8468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist