Provider Demographics
NPI:1477151645
Name:ORCIANI, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ORCIANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MARBLEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2344
Mailing Address - Country:US
Mailing Address - Phone:603-552-7274
Mailing Address - Fax:
Practice Address - Street 1:48 MARBLEHEAD RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2344
Practice Address - Country:US
Practice Address - Phone:603-552-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP2216888-02OtherHARDVARD PILGRIM