Provider Demographics
NPI:1629753603
Name:PIRRO, MARIANNE CARMELLA
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:CARMELLA
Last Name:PIRRO
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 1:104 BOYSEN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1602
Mailing Address - Country:US
Mailing Address - Phone:315-884-0616
Mailing Address - Fax:
Practice Address - Street 1:104 BOYSEN RD
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1602
Practice Address - Country:US
Practice Address - Phone:315-884-0616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist