Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1437707627 |
---|---|
Provider Name | Gianluca Alfonso Pugliese |
First Address | Stony Point, NY 10980-2601 |
Second Address | West Haverstraw, NY 10993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2019 |
Last Update Date | 30/08/2019 |