Gallegos, Juanita

Gallegos, Juanita is an sole proprietor health care provider with primary practice located at 2160 Bronx Park E Apt 4J , Bronx NY 10462-1236. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gallegos, Juanita can be contacted via phone (718) 824-1638.

Contact Information

Primary practice address
2160 Bronx Park E Apt 4J Bronx NY 10462-1236
Phone: (718) 824-1638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000486-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 352675 New York

Profile Details

NPI number 1083883979
LBN Legal business name Gallegos, Juanita
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2008
Last updated Feb 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083883979 NPPES
New York MEDICAID 01779886

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