Healthcare Provider Details

I. General information

NPI: 1659951143
Provider Name (Legal Business Name): FRANCESCA MARIE GATTI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WATERS PL STE 102
BRONX NY
10461-2729
US

IV. Provider business mailing address

1200 WATERS PL STE 102
BRONX NY
10461-2729
US

V. Phone/Fax

Practice location:
  • Phone: 717-330-9571
  • Fax:
Mailing address:
  • Phone: 717-330-9571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4452
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: