Provider Demographics
NPI:1952662090
Name:GALATRO-NEGRI, LAUREN M
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:M
Last Name:GALATRO-NEGRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 MUNSELL RD
Mailing Address - Street 2:
Mailing Address - City:E PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-5617
Mailing Address - Country:US
Mailing Address - Phone:631-512-8926
Mailing Address - Fax:
Practice Address - Street 1:340 MUNSELL RD
Practice Address - Street 2:
Practice Address - City:E PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-5617
Practice Address - Country:US
Practice Address - Phone:631-512-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY813272174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist