Healthcare Provider Details

I. General information

NPI: 1194075895
Provider Name (Legal Business Name): GIANNY LIRIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 FORT WASHINGTON AVE STE 1B1C
NEW YORK NY
10032-1315
US

IV. Provider business mailing address

112 HENWOOD PL
BRONX NY
10453-8014
US

V. Phone/Fax

Practice location:
  • Phone: 212-927-0300
  • Fax: 833-992-2239
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: