Provider Demographics
NPI:1457958399
Name:PATTACCIATO, FLORIANNA MARIA (PT, DPT)
Entity Type:Individual
Prefix:MISS
First Name:FLORIANNA
Middle Name:MARIA
Last Name:PATTACCIATO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1564 QUAKER RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2004
Mailing Address - Country:US
Mailing Address - Phone:716-548-5006
Mailing Address - Fax:
Practice Address - Street 1:1360 N FOREST RD STE 115
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1200
Practice Address - Country:US
Practice Address - Phone:716-650-3000
Practice Address - Fax:716-650-3090
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist