Provider Demographics
NPI:1487901344
Name:PIERANTOZZI, MATTHEW A (MSW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:A
Last Name:PIERANTOZZI
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EARL CT
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2044
Mailing Address - Country:US
Mailing Address - Phone:917-273-3326
Mailing Address - Fax:
Practice Address - Street 1:10 EARL CT
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2044
Practice Address - Country:US
Practice Address - Phone:917-273-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist