Provider Demographics
NPI:1457624850
Name:GALDAMEZ, ANA LUCRECIA (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:LUCRECIA
Last Name:GALDAMEZ
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 E 166TH ST
Mailing Address - Street 2:APT, A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-5654
Mailing Address - Country:US
Mailing Address - Phone:646-369-6994
Mailing Address - Fax:
Practice Address - Street 1:795 E 166TH ST
Practice Address - Street 2:APT, A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5654
Practice Address - Country:US
Practice Address - Phone:646-369-6994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist