Provider Demographics
NPI:1316298730
Name:GIANNELLI, CAMILLE MONICA
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:MONICA
Last Name:GIANNELLI
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 1:573 STOWELL DR APT 6
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-1823
Mailing Address - Country:US
Mailing Address - Phone:585-313-8513
Mailing Address - Fax:
Practice Address - Street 1:573 STOWELL DR APT 6
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-1823
Practice Address - Country:US
Practice Address - Phone:585-313-8513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist