Doctor Name: | GALO BURBANO |
NPI Number: | 1285654715 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | 403614 |
Business Practice Address: | 333 Route 25a Suite 225 Rocky Point, NY - 117788556 |
Business Phone Number: | 6317440396 |
Business Fax Number: | |
Mailing Address: | 333 Route 25a, Suite 225 ROCKY POINT |
State: | NY |
Postal Code: | 117788556 |
Phone Number: | 6317440396 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0000X |
License Number: | 403614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pain Management |
Taxonomy Definition: |