Provider Demographics
NPI:1164820361
Name:GABRIELA ROXANA GIUGGIOLONI LCSW, PC
Entity Type:Organization
Organization Name:GABRIELA ROXANA GIUGGIOLONI LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:ROXANA
Authorized Official - Last Name:GIUGGIOLONI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:917-370-3474
Mailing Address - Street 1:2828 35TH ST
Mailing Address - Street 2:APT 2L
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-5083
Mailing Address - Country:US
Mailing Address - Phone:917-370-3474
Mailing Address - Fax:
Practice Address - Street 1:3051 36TH ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4704
Practice Address - Country:US
Practice Address - Phone:917-370-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-21
Last Update Date:2014-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0772151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty