Provider Demographics
NPI:1790031177
Name:GALBREATH, FLOBIEN VIDAL (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:FLOBIEN
Middle Name:VIDAL
Last Name:GALBREATH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:HARKNESS 2- SOCIAL WORK DEPARTMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-3721
Mailing Address - Fax:212-305-6196
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:HARKNESS 2-SOCIAL WORK DEPARTMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-3721
Practice Address - Fax:212-305-6196
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084401104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker