Provider Demographics
NPI:1376704379
Name:GIUGGIOLONI, GABRIELA ROXANA (LCSW)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ROXANA
Last Name:GIUGGIOLONI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 37TH AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6300
Mailing Address - Country:US
Mailing Address - Phone:718-672-1705
Mailing Address - Fax:718-672-2027
Practice Address - Street 1:7409 37TH AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6300
Practice Address - Country:US
Practice Address - Phone:718-672-1705
Practice Address - Fax:718-672-2027
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0772151041C0700X
NY75207104100000X
NY075207104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker