Provider Demographics
NPI:1538694377
Name:SARNO, JODY ERNEST (CPED CFO)
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:ERNEST
Last Name:SARNO
Suffix:
Gender:M
Credentials:CPED CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 WHITTIER ST
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1660
Mailing Address - Country:US
Mailing Address - Phone:724-594-7718
Mailing Address - Fax:
Practice Address - Street 1:227 WHITTIER ST
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1660
Practice Address - Country:US
Practice Address - Phone:724-594-7718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter