Provider Demographics
NPI:1467347724
Name:AIELLO, GIANNA MARIE
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIE
Last Name:AIELLO
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 1:39 GLENVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2428
Mailing Address - Country:US
Mailing Address - Phone:631-624-3642
Mailing Address - Fax:
Practice Address - Street 1:39 GLENVIEW AVE
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2428
Practice Address - Country:US
Practice Address - Phone:631-624-3642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health