Provider Demographics
NPI:1912142936
Name:GALIANI, ANTHONY JOSHUA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSHUA
Last Name:GALIANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 BOGART AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4025
Mailing Address - Country:US
Mailing Address - Phone:718-824-9222
Mailing Address - Fax:718-824-1519
Practice Address - Street 1:1732 BOGART AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4025
Practice Address - Country:US
Practice Address - Phone:718-824-9222
Practice Address - Fax:718-824-1519
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice