Individual
KATHLEEN MARY GIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(914) 458-8763
Mailing address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(914) 458-8763
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
016229-1
NY
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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