Provider Demographics
NPI:1083869150
Name:POLLACI-SCHILLACI, GINA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:POLLACI-SCHILLACI
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5814
Mailing Address - Country:US
Mailing Address - Phone:631-796-1345
Mailing Address - Fax:
Practice Address - Street 1:966 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5814
Practice Address - Country:US
Practice Address - Phone:631-796-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst