Provider Demographics
NPI:1376695239
Name:DR. ROBERT A. LABRIOLA
Entity Type:Organization
Organization Name:DR. ROBERT A. LABRIOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-781-4556
Mailing Address - Street 1:101 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3252
Mailing Address - Country:US
Mailing Address - Phone:412-781-4556
Mailing Address - Fax:412-781-4565
Practice Address - Street 1:101 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3252
Practice Address - Country:US
Practice Address - Phone:412-781-4556
Practice Address - Fax:412-781-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC000929L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100692Medicare ID - Type Unspecified
PAT27365Medicare UPIN