Healthcare Provider Details

I. General information

NPI: 1902068703
Provider Name (Legal Business Name): ANNE PIAZZA SOCIAL WORKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 JONES AND GIFFORD AVE
JAMESTOWN NY
14701-2828
US

IV. Provider business mailing address

880 E 2ND ST
JAMESTOWN NY
14701-3824
US

V. Phone/Fax

Practice location:
  • Phone: 716-661-1541
  • Fax:
Mailing address:
  • Phone: 716-661-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number042079
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: