Provider Demographics
NPI:1558052456
Name:PISTONE, FARICCIO ANDREW
Entity Type:Individual
Prefix:DR
First Name:FARICCIO
Middle Name:ANDREW
Last Name:PISTONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 HARVARD WAY APT 265
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-7322
Mailing Address - Country:US
Mailing Address - Phone:775-447-5555
Mailing Address - Fax:
Practice Address - Street 1:2401 HARVARD WAY APT 265
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-7322
Practice Address - Country:US
Practice Address - Phone:775-447-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral