| Labriolas Integrative Health Pc | |
|
30 High St Etna PA 15223-1954 | |
| (412) 782-6800 | |
| (412) 782-6800 |
| Full Name | Labriolas Integrative Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 High St, Etna, Pennsylvania |
| Authorized Official Name and Position | Suzanne M Labriola (PRESIDENT) |
| Authorized Official Contact | 4127826800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labriolas Integrative Health Pc Po Box 6316 Hermitage PA 16148-0924 Ph: (412) 782-6800 | Labriolas Integrative Health Pc 30 High St Etna PA 15223-1954 Ph: (412) 782-6800 |
| NPI Number | 1952056855 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 9133514227 |
|---|---|
| Medicare Enrollment ID | O20220329000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952056855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Samuel G Marcotullio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285633222 PECOS PAC ID: 6103857206 Enrollment ID: I20050829000670 |
| Provider Name | Suzanne Meredith Labriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770786253 PECOS PAC ID: 0749376705 Enrollment ID: I20071022000702 |
| Provider Name | Matthew J Coppola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528022944 PECOS PAC ID: 9335052455 Enrollment ID: I20110518000793 |
| Provider Name | Jorjette M Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796712 PECOS PAC ID: 1658685524 Enrollment ID: I20150805008795 |
| Provider Name | Beth Gaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174905046 PECOS PAC ID: 9436463338 Enrollment ID: I20150806009890 |
| Provider Name | Thomas A Shaffrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518993443 PECOS PAC ID: 5597767467 Enrollment ID: I20171213001473 |