Provider Demographics
NPI:1265795629
Name:FIORITO, GINENE ANNE (MS ED)
Entity type:Individual
Prefix:MRS
First Name:GINENE
Middle Name:ANNE
Last Name:FIORITO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S GOFF AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-3417
Mailing Address - Country:US
Mailing Address - Phone:347-248-7134
Mailing Address - Fax:718-948-1282
Practice Address - Street 1:103 S GOFF AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3417
Practice Address - Country:US
Practice Address - Phone:347-248-7134
Practice Address - Fax:718-948-1282
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113354021174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist