MEDICARE: MS. TATIANA OLSZANSKI PREZIOSO MS

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	231H00000X	Audiologist	AT005848	PA

General Provider Information

NPI Number	:	1417000548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TATIANA OLSZANSKI PREZIOSO MS

Provider Business Mailing Address
First Line	:	204 MCGREGOR DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-2265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E SWISSVALE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1443
Country	:	US
Telephone Number	:	412-371-7000
Fax Number	:

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

Provider Enumeration Date	:	01/20/2007
Last Update Date	:	07/08/2007

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