Provider Demographics
NPI:1063716983
Name:BURSTEIN, GALENA (MPH)
Entity type:Individual
Prefix:MRS
First Name:GALENA
Middle Name:
Last Name:BURSTEIN
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SAINT MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3141
Mailing Address - Country:US
Mailing Address - Phone:502-797-8055
Mailing Address - Fax:502-409-8680
Practice Address - Street 1:9407 HARLEQUIN ST
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-6561
Practice Address - Country:US
Practice Address - Phone:502-797-8055
Practice Address - Fax:502-409-8680
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty