Organization · NPI-2

Advanced Diagnostics PC

Psychologist · Pittsburgh, PA

NPI number1649463548
StatusActive
Last updated in NPPESAug 23, 2007

Details

NPI
1649463548
Entity type
Organization (NPI-2)
Legal business name
Advanced Diagnostics PC
Organization subpart
No
Enumeration date
Aug 23, 2007
Last updated
Aug 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist–PAYes
1041C0700X Social Worker, Clinical–PA

Practice location

3519 Bigelow Blvd
Pittsburgh, PA 15213-1023

Phone 412-683-8378 · Fax 412-683-1215

Mailing address

3519 Bigelow Blvd
Pittsburgh, PA 15213-1023

Phone 412-683-8378 · Fax 412-683-1215

Authorized official

Gregory Jon Nicosia
Owner/Psychologist
4126838378

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