Provider Demographics
NPI:1851692032
Name:LABELLA-SARACCO, GEORGIANNA TERESA (MA CED)
Entity Type:Individual
Prefix:MRS
First Name:GEORGIANNA
Middle Name:TERESA
Last Name:LABELLA-SARACCO
Suffix:
Gender:F
Credentials:MA CED
Other - Prefix:MRS
Other - First Name:GEORGIANNA
Other - Middle Name:TERESA
Other - Last Name:SAPORITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CED
Mailing Address - Street 1:1760 EAST 52ND STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:718-258-5143
Mailing Address - Fax:
Practice Address - Street 1:155-39 101ST STREET
Practice Address - Street 2:
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11414
Practice Address - Country:US
Practice Address - Phone:718-835-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner