Most Relevant Information
Provider Data
| NPI Number: | 1003368325 |
| Provider Name: | TANYA CIANCIO BA, MA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2016 |
| Last Updated: | 11/03/2016 |
Provider Practice Location
47 BOBANN DR
NESCONSET
NY
117672201
Practice Location Phone/Fax
| Phone: | 6312521789 |
| Fax: |
Provider Mailing Location
47 BOBANN DR
NESCONSET
NY
117672201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |