Provider Demographics
NPI:1700689080
Name:TORNUSCIOLO, GABRIEL PIERRE (PSYD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:PIERRE
Last Name:TORNUSCIOLO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MYERS ROAD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NY
Mailing Address - Zip Code:14882
Mailing Address - Country:US
Mailing Address - Phone:607-592-4835
Mailing Address - Fax:
Practice Address - Street 1:32 MYERS ROAD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NY
Practice Address - Zip Code:14882
Practice Address - Country:US
Practice Address - Phone:607-592-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012619-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical