Healthcare Provider Details

I. General information

NPI: 1003748237
Provider Name (Legal Business Name): GIANA MARIE JUDE MUCCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 ORENDA SPRING DR
SARATOGA SPRINGS NY
12866-8817
US

IV. Provider business mailing address

38 BERWYN ST
SCHENECTADY NY
12304-4462
US

V. Phone/Fax

Practice location:
  • Phone: 646-481-5930
  • Fax:
Mailing address:
  • Phone: 646-481-5930
  • Fax: 646-481-5930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: