Provider Demographics
NPI:1750837092
Name:GALAY, KATYA (LAC)
Entity type:Individual
Prefix:MS
First Name:KATYA
Middle Name:
Last Name:GALAY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CHAPEL ST APT 704
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12210-1655
Mailing Address - Country:US
Mailing Address - Phone:518-504-6600
Mailing Address - Fax:617-221-9734
Practice Address - Street 1:839 NEW LOUDON RD STE 1
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-6101
Practice Address - Country:US
Practice Address - Phone:518-504-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist