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NPI Code Detail

MEDICARE: SARA GIALLANZA STUDENT

MEDICARE: SARA GIALLANZA STUDENT
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
1390200000XStudent in an Organized Health Care Education/Training Program104366NY

General Provider Information

NPI Number : 1770442246
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA GIALLANZA STUDENT
Provider Business Mailing Address
First Line : 3690 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3690 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3537
Country : US
Telephone Number : 585-385-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ SARA GIALLANZA STUDENT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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