Provider Demographics
NPI:1245277680
Name:GALINSKY, TATYANA (OD)
Entity type:Individual
Prefix:DR
First Name:TATYANA
Middle Name:
Last Name:GALINSKY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4929
Mailing Address - Country:US
Mailing Address - Phone:718-763-2020
Mailing Address - Fax:718-763-2024
Practice Address - Street 1:1944 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5302
Practice Address - Country:US
Practice Address - Phone:718-763-2020
Practice Address - Fax:718-763-2024
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006578-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY178652OtherCHN PPO
NYVUT006578OtherVYTRA
NY0135950OtherGHI
NY02316787Medicaid
NY100232325601OtherAMERICHOICE
NY2323256OtherEMPIRE PLAN (NYSHIPP)
NY6C0131OtherHEALTHNET
NYC455A3OtherEMPIRE BCBS
NYP3662566OtherOXFORD
11236153OtherCAQH
NY20-0921881OtherAETNA
NY20-0921881OtherMETROPLUS
NY20-0921881OtherHUMANA
NY20-0921881OtherUHC
NY6555328OtherCIGNA
NY65020OtherOPTUM HEALTH
NY770805POtherHIP
NYOP2742OtherEYEMED
NY6C0131OtherHEALTHNET
NYC455A3OtherEMPIRE BCBS