Individual
MR. MATTHEW DAVID PULLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
310 MILLS AVE STE 202, GREENVILLE, SC 29605-4063
(864) 202-6259
(864) 509-6641
Mailing address
3125 E MAIN ST, ENDWELL, NY 13760-5958
(607) 748-7369
(607) 748-4189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017307-1
NY
225100000X
Physical Therapist
Primary
10183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021582
BCBS
NY
01
—
10035643-J508
CDPHP
NY
01
—
200486570
COMP, RMSCO, CIGNA
NY
01
—
438500
MVP
NY
01
—
5392510
AETNA
NY
01
—
816782
GHI & MPN
NY
Enumeration date
11/17/2006
Last updated
04/22/2025
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