Provider Demographics
NPI:1366514234
Name:GALANO, MICHAEL L (LCSWR CASAC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:GALANO
Suffix:
Gender:M
Credentials:LCSWR CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 COOPER DR
Mailing Address - Street 2:
Mailing Address - City:VERBANK
Mailing Address - State:NY
Mailing Address - Zip Code:12585-5053
Mailing Address - Country:US
Mailing Address - Phone:845-227-9223
Mailing Address - Fax:
Practice Address - Street 1:1009 RT 82
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533
Practice Address - Country:US
Practice Address - Phone:845-227-9223
Practice Address - Fax:845-227-6561
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR26226104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker