Provider Demographics
NPI:1760855720
Name:GALEWSKI, MARYBETH (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:MARYBETH
Middle Name:
Last Name:GALEWSKI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 DENSMORE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-1850
Mailing Address - Country:US
Mailing Address - Phone:585-399-1404
Mailing Address - Fax:585-339-1439
Practice Address - Street 1:155 DENSMORE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-1850
Practice Address - Country:US
Practice Address - Phone:585-399-1404
Practice Address - Fax:585-339-1439
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY501114163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse