Healthcare Provider Details

I. General information

NPI: 1881965457
Provider Name (Legal Business Name): TONI L GIGLIOTTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4264 EAST ROAD
TURIN NY
13473
US

IV. Provider business mailing address

6935 MCCONNELL RD
GLENFIELD NY
13343-9515
US

V. Phone/Fax

Practice location:
  • Phone: 315-348-2625
  • Fax:
Mailing address:
  • Phone: 315-348-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number270239
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: