Provider Demographics
NPI:1477367407
Name:GALAGE, DANIEL DOMINICK (PMHNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DOMINICK
Last Name:GALAGE
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 23RD AVE UNIT 1099
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2775
Mailing Address - Country:US
Mailing Address - Phone:845-320-5179
Mailing Address - Fax:
Practice Address - Street 1:7 CROTON AVE
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5203
Practice Address - Country:US
Practice Address - Phone:914-962-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY406722363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health