Provider Demographics
NPI:1649054990
Name:GALITZER, ASHLEY BRIANNA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BRIANNA
Last Name:GALITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 INDEPENDENCE AVE APT 6B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1436
Mailing Address - Country:US
Mailing Address - Phone:954-300-8147
Mailing Address - Fax:
Practice Address - Street 1:3800 INDEPENDENCE AVE APT 6B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1436
Practice Address - Country:US
Practice Address - Phone:954-300-8147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033166235Z00000X
NY033166-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist