Provider Demographics
NPI:1275675720
Name:GIGLIO, CAROL MARIE (DPT)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:GIGLIO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:MARIE
Other - Last Name:FLORIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 CANVASBACK LN
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-4825
Mailing Address - Country:US
Mailing Address - Phone:631-594-2191
Mailing Address - Fax:631-594-2191
Practice Address - Street 1:8 CANVASBACK LN
Practice Address - Street 2:
Practice Address - City:EAST QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11942-4825
Practice Address - Country:US
Practice Address - Phone:631-594-2191
Practice Address - Fax:631-594-2191
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022771225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist