Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013444-1 | NY |
NPI | 1003082991 |
---|---|
Provider Name | Mr. Vito Anthony Gigante |
First Address | Depew, NY 14043-1823 |
Second Address | Depew, NY 14043-1823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 05/06/2019 |