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NPI Code Detail

MEDICARE: BRIANA LIMONCELLI

MEDICARE: BRIANA LIMONCELLI
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
1124Q00000XDental Hygienist51027442NY

General Provider Information

NPI Number : 1730639378
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA LIMONCELLI
Provider Business Mailing Address
First Line : 439 PORT RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 439 PORT RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-1714
Country : US
Telephone Number : 917-830-0838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2016
Last Update Date : 10/06/2016

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Directions to “ BRIANA LIMONCELLI ” Practice Location

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