Provider Demographics
NPI:1821849332
Name:BRIGANTE, GIANNA MARIE
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIE
Last Name:BRIGANTE
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 1:112 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2332
Mailing Address - Country:US
Mailing Address - Phone:914-564-6799
Mailing Address - Fax:
Practice Address - Street 1:112 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2332
Practice Address - Country:US
Practice Address - Phone:845-628-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP127516225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist