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NPI Code Detail

MEDICARE: GABRIELLA NICOLE TINELLI

MEDICARE: GABRIELLA NICOLE TINELLI
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588511307
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA NICOLE TINELLI
Provider Business Mailing Address
First Line : 750 ASTOR AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-9304
Country : US
Telephone Number : 718-518-9007
Fax Number : 347-899-8057
Provider Business Practice Location Address
First Line : 750 ASTOR AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-9304
Country : US
Telephone Number : 718-518-9007
Fax Number : 347-899-8057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ GABRIELLA NICOLE TINELLI ” Practice Location

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