Galaxy Extra, Inc.

NPI #1558719005 in Freeport, New York

Provider Information

NPI Number: 1558719005
Entity Type: Organization
Organization Name: Galaxy Extra, Inc.
Primary Specialty: Home Health
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 87 CHURCH ST
City: Freeport
State: New York
ZIP Code: 11520-3830
Phone: (917) 923-4444

Authorized Official

Name: IGOR RICK
Title: PRESIDENT/OWNER
Phone: (917) 923-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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