Provider Demographics
NPI:1003383217
Name:GIUNTA, GABRIELLA ROSE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLA
Middle Name:ROSE
Last Name:GIUNTA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510-1218
Mailing Address - Country:US
Mailing Address - Phone:585-658-2100
Mailing Address - Fax:585-658-9562
Practice Address - Street 1:118 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510-1218
Practice Address - Country:US
Practice Address - Phone:585-658-2100
Practice Address - Fax:585-658-9562
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25294363AM0700X
NY025294363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical