Provider Demographics
NPI:1285629972
Name:GARZIONE, JOHN E (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:GARZIONE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 COUNTY ROAD 44
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-2209
Mailing Address - Country:US
Mailing Address - Phone:607-334-6273
Mailing Address - Fax:607-334-8770
Practice Address - Street 1:280 COUNTY ROAD 44
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-2209
Practice Address - Country:US
Practice Address - Phone:607-334-6273
Practice Address - Fax:607-334-8770
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2014-11-06
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
NY003887-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00570645Medicaid
NY32096BMedicare ID - Type Unspecified
NY00570645Medicaid