Provider Demographics
NPI:1831494681
Name:GALPER, ANDREY (MD, PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREY
Middle Name:
Last Name:GALPER
Suffix:
Gender:M
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE # 564
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-5162
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVE # 564
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-5162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2024-07-04
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2023-04-21
Provider Licenses
StateLicense IDTaxonomies
NY0551174183500000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No183500000XPharmacy Service ProvidersPharmacist