Individual
MS. BARBARA A GATTULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP,CDE
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-2095
Mailing address
22 EASTMAN ST, STATEN ISLAND, NY 10312-5034
(718) 356-6546
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303075
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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