Provider Demographics
NPI:1538212675
Name:GALOTTI, ALBERT F (PT)
Entity type:Individual
Prefix:PROF
First Name:ALBERT
Middle Name:F
Last Name:GALOTTI
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 1:334 UNDERHILL AVE
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4530
Mailing Address - Country:US
Mailing Address - Phone:914-245-0298
Mailing Address - Fax:914-245-5367
Practice Address - Street 1:334 UNDERHILL AVE
Practice Address - Street 2:SUITE 1-A
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4530
Practice Address - Country:US
Practice Address - Phone:914-245-0298
Practice Address - Fax:914-245-5367
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0004646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWS1291OtherOXFORD
NY4393999OtherAETNA
NY6601403OtherGHI
NYQ71351Medicare ID - Type Unspecified