Healthcare Provider Details

I. General information

NPI: 1326703414
Provider Name (Legal Business Name): GINA ZINGARO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W EDISON AVE
NEW CASTLE PA
16101-2174
US

IV. Provider business mailing address

107 W ELIZABETH ST
NEW CASTLE PA
16105-2857
US

V. Phone/Fax

Practice location:
  • Phone: 724-652-6340
  • Fax:
Mailing address:
  • Phone: 724-714-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberPSL001711
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: