MEDICARE: GINA STANZIANO

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1497026561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA STANZIANO

Provider Business Mailing Address
First Line	:	1141 N HIGHLAND AVE
Second Line	:	APT 26
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1659
Country	:	US
Telephone Number	:	316-708-9293
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 N HIGHLAND AVE
Second Line	:	APT 26
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1659
Country	:	US
Telephone Number	:	316-708-9293
Fax Number	:

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

Provider Enumeration Date	:	01/22/2012
Last Update Date	:	01/22/2012

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Directions to “ GINA STANZIANO ” Practice Location

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