Provider Demographics
NPI:1841879947
Name:GALEAS, JARELY
Entity type:Individual
Prefix:
First Name:JARELY
Middle Name:
Last Name:GALEAS
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 1:3708 91ST ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7962
Mailing Address - Country:US
Mailing Address - Phone:718-779-2263
Mailing Address - Fax:
Practice Address - Street 1:25 N BROADWAY APT 10
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7004
Practice Address - Country:US
Practice Address - Phone:347-641-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011214101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health