Healthcare Provider Details

I. General information

NPI: 1104754993
Provider Name (Legal Business Name): ABIGAIL THOMAS GARYANTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABIGAIL LEKSTUTIS

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 S AIKEN AVE
PITTSBURGH PA
15232-1207
US

IV. Provider business mailing address

403 S AIKEN AVE
PITTSBURGH PA
15232-1207
US

V. Phone/Fax

Practice location:
  • Phone: 440-465-6640
  • Fax: 440-465-6640
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06655900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: