Provider Demographics
NPI:1114741204
Name:MELCHIORRE, GIANNA MARIE
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIE
Last Name:MELCHIORRE
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 1:3214 HAZENRIDGE WAY APT 205
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7377
Mailing Address - Country:US
Mailing Address - Phone:845-248-7402
Mailing Address - Fax:
Practice Address - Street 1:3214 HAZENRIDGE WAY APT 205
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-7377
Practice Address - Country:US
Practice Address - Phone:845-248-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician