Provider Demographics
NPI:1982712493
Name:GATTONI, DENNIS (PT)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:GATTONI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 ROUTE 304 STE 11
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2842
Mailing Address - Country:US
Mailing Address - Phone:845-323-4550
Mailing Address - Fax:845-323-4550
Practice Address - Street 1:730 ROUTE 304 STE 11
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-2842
Practice Address - Country:US
Practice Address - Phone:845-323-4550
Practice Address - Fax:845-323-4550
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01969812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9729126OtherCIGNA PPO
NYQ11T71OtherBCBC
NYQQ146Q40D1Medicare PIN
NY9729126OtherCIGNA PPO