Provider Demographics
NPI:1154661635
Name:CIFELLI, GABRIELLA (DPT)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:
Last Name:CIFELLI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2128
Mailing Address - Country:US
Mailing Address - Phone:201-618-1067
Mailing Address - Fax:
Practice Address - Street 1:35 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3514
Practice Address - Country:US
Practice Address - Phone:973-302-7637
Practice Address - Fax:973-302-4598
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01484600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist