Provider Demographics
NPI:1023428976
Name:GALOYAN, MICHAEL
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:GALOYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6660 80TH ST
Mailing Address - Street 2:GROUND 3
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2738
Mailing Address - Country:US
Mailing Address - Phone:516-427-2406
Mailing Address - Fax:718-326-0777
Practice Address - Street 1:6660 80TH ST
Practice Address - Street 2:GROUND 3
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2738
Practice Address - Country:US
Practice Address - Phone:516-427-2406
Practice Address - Fax:718-326-0777
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006863-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist