Healthcare Provider Details

I. General information

NPI: 1417000548
Provider Name (Legal Business Name): TATIANA OLSZANSKI PREZIOSO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E SWISSVALE AVE
PITTSBURGH PA
15218-1443
US

IV. Provider business mailing address

204 MCGREGOR DR
CANONSBURG PA
15317-2265
US

V. Phone/Fax

Practice location:
  • Phone: 412-371-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT005848
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: