Provider Demographics
NPI:1386020956
Name:BRANCATO, CHARLES (RESPIRATORY THERAPIS)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:BRANCATO
Suffix:
Gender:M
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-1322
Mailing Address - Country:US
Mailing Address - Phone:845-278-4617
Mailing Address - Fax:
Practice Address - Street 1:2305 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-1322
Practice Address - Country:US
Practice Address - Phone:845-278-4617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY42322279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care