Provider Demographics
NPI:1629045919
Name:GATTO, ROBERT JOHN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:GATTO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2723
Mailing Address - Country:US
Mailing Address - Phone:814-688-9167
Mailing Address - Fax:
Practice Address - Street 1:484 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-2723
Practice Address - Country:US
Practice Address - Phone:716-488-7725
Practice Address - Fax:716-488-9644
Is Sole Proprietor?:No
Enumeration Date:2006-03-05
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC3303Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID #