Provider Demographics
NPI:1245475102
Name:GALAN, STEVEN J (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:GALAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 MADEIRA BLVD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5208
Mailing Address - Country:US
Mailing Address - Phone:631-367-0157
Mailing Address - Fax:
Practice Address - Street 1:293 MADEIRA BLVD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-5208
Practice Address - Country:US
Practice Address - Phone:631-367-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-07
Last Update Date:2008-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003354152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist