Healthcare Provider Details

I. General information

NPI: 1295651065
Provider Name (Legal Business Name): ANNA AIELLO, LICENSED MARRIAGE & FAMILY THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 W GENESEE ST STE 204
SYRACUSE NY
13202-1010
US

IV. Provider business mailing address

106 CHARMOUTH DR
SYRACUSE NY
13207-1949
US

V. Phone/Fax

Practice location:
  • Phone: 518-350-4355
  • Fax:
Mailing address:
  • Phone: 518-350-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIA AIELLO
Title or Position: LMFT-D
Credential:
Phone: 518-350-4355