Provider Demographics
NPI:1225540149
Name:GALLINARO, DEBORAH HUTCHINSON (PT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HUTCHINSON
Last Name:GALLINARO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-1369
Mailing Address - Country:US
Mailing Address - Phone:315-413-3497
Mailing Address - Fax:
Practice Address - Street 1:115 CREEK CIR
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-1369
Practice Address - Country:US
Practice Address - Phone:315-413-3497
Practice Address - Fax:315-469-2794
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004491-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004491-1OtherNYS PT LICENSE