MEDICARE: GIANNY LIRIANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1194075895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIANNY LIRIANO

Provider Business Mailing Address
First Line	:	112 HENWOOD PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-8014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	286 FORT WASHINGTON AVE STE 1B1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1315
Country	:	US
Telephone Number	:	212-927-0300
Fax Number	:	833-992-2239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	10/02/2024

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Directions to “ GIANNY LIRIANO ” Practice Location

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