Provider Demographics
NPI:1801030689
Name:GALLO, ERIN MICHELE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MICHELE
Last Name:GALLO
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 1:257 CENTRAL AVE APT 1H
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1250
Mailing Address - Country:US
Mailing Address - Phone:718-966-9726
Mailing Address - Fax:
Practice Address - Street 1:257 CENTRAL AVE APT 1H
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606
Practice Address - Country:US
Practice Address - Phone:718-986-9726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028434-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics