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NPI 1841177367

NPI 1841177367 : GABRIELLA PAGNOTTA : PORT CHESTER, NY

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General NPI Number Information
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    NPI Number           |    1841177367
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELLA PAGNOTTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/18/2025
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    388 WESTCHESTER AVE 
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    City                 |    PORT CHESTER
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    State                |    NY
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    Zip                  |    10573-3650
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    Country              |    US
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    Telephone            |    914-939-6400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    328 WILLETT AVE 
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    City                 |    PORT CHESTER
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    State                |    NY
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    Zip                  |    10573-3323
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    Country              |    US
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    Telephone            |    914-479-7038
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    054910
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    License Number State |    NY
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