Provider Demographics
NPI:1063607299
Name:PIGNATARO, ALBERT
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:PIGNATARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PAUL SCANNELL DR
Mailing Address - Street 2:SAN MATEO HEALTH SERVICES, YOUTH SERVICES CENTER
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-4061
Mailing Address - Country:US
Mailing Address - Phone:650-312-5570
Mailing Address - Fax:650-312-5322
Practice Address - Street 1:222 PAUL SCANNELL DR
Practice Address - Street 2:SAN MATEO HEALTH SERVICES, YOUTH SERVICES CENTER
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-4061
Practice Address - Country:US
Practice Address - Phone:650-312-5570
Practice Address - Fax:650-312-5322
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist