Provider Demographics
NPI:1730461641
Name:GALANTER, ANDRA
Entity Type:Individual
Prefix:MRS
First Name:ANDRA
Middle Name:
Last Name:GALANTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANDRA
Other - Middle Name:
Other - Last Name:GALANTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:105 FIFTH AVENUE
Mailing Address - Street 2:APT #11E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-598-4228
Mailing Address - Fax:
Practice Address - Street 1:475 RIVERSIDE DR STE 730
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10115-0067
Practice Address - Country:US
Practice Address - Phone:212-280-4473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015260-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist