Doctor Name: | CARLO GATDULA |
NPI Number: | 1598884603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 019302-1 |
Business Practice Address: | 6285 Forest Ave Ridgewood, NY - 113852001 |
Business Phone Number: | 7188217772 |
Business Fax Number: | |
Mailing Address: | 1927 Carleton Pl, NORTH BALDWIN |
State: | NY |
Postal Code: | 115102232 |
Phone Number: | 6463226999 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 019302-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |