Provider Demographics
NPI:1962621466
Name:GAETANO GIALANELLA PLLC
Entity type:Organization
Organization Name:GAETANO GIALANELLA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAETANO
Authorized Official - Middle Name:
Authorized Official - Last Name:GIALANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-482-8111
Mailing Address - Street 1:523 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1617
Mailing Address - Country:US
Mailing Address - Phone:518-482-8111
Mailing Address - Fax:518-482-2618
Practice Address - Street 1:523 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1617
Practice Address - Country:US
Practice Address - Phone:518-482-8111
Practice Address - Fax:518-482-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental