Provider Demographics
NPI:1821336447
Name:GALAR, EINAT TINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EINAT
Middle Name:TINA
Last Name:GALAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EINAT
Other - Middle Name:TINA
Other - Last Name:KOHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:390 BERRY ST
Mailing Address - Street 2:#B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-6084
Mailing Address - Country:US
Mailing Address - Phone:646-415-0631
Mailing Address - Fax:
Practice Address - Street 1:500C GRAND ST
Practice Address - Street 2:APT GE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4169
Practice Address - Country:US
Practice Address - Phone:646-415-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist