Provider Demographics
NPI:1487706503
Name:NAGLER GALVIS, MARLENE DONNA (RNNP)
Entity type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:DONNA
Last Name:NAGLER GALVIS
Suffix:
Gender:F
Credentials:RNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 TAFT CT
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4425
Mailing Address - Country:US
Mailing Address - Phone:516-489-5658
Mailing Address - Fax:
Practice Address - Street 1:726 BROADWAY FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9580
Practice Address - Country:US
Practice Address - Phone:212-443-1173
Practice Address - Fax:212-443-1167
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3600201363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology