Provider Demographics
NPI:1871532622
Name:GALIOTO, ANDREW CHARLES (DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHARLES
Last Name:GALIOTO
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3857 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1850
Mailing Address - Country:US
Mailing Address - Phone:412-344-9660
Mailing Address - Fax:412-344-9659
Practice Address - Street 1:3857 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1850
Practice Address - Country:US
Practice Address - Phone:412-344-9660
Practice Address - Fax:412-344-9659
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004944L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000121198OtherBCBS PROVIDER #
PA065464Medicare UPIN
PA121198Medicare ID - Type Unspecified