Provider Demographics
NPI:1295794576
Name:GARRISON, AMY ANNE (DPM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ANNE
Last Name:GARRISON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ANNE
Other - Last Name:FIORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:7227 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208
Mailing Address - Country:US
Mailing Address - Phone:412-244-4700
Mailing Address - Fax:412-244-4992
Practice Address - Street 1:7227 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208
Practice Address - Country:US
Practice Address - Phone:412-244-4700
Practice Address - Fax:412-244-4992
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004594L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1808473Medicaid
037032Medicare ID - Type Unspecified
PA1808473Medicaid