Healthcare Provider Details

I. General information

NPI: 1740672559
Provider Name (Legal Business Name): ELIZABETH ANNE GIGLIA ED.M., CAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 03/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SALEM ST
BUFFALO NY
14220-1728
US

IV. Provider business mailing address

35 SALEM ST
BUFFALO NY
14220-1728
US

V. Phone/Fax

Practice location:
  • Phone: 716-560-5467
  • Fax:
Mailing address:
  • Phone: 716-560-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: