Organization
ADVANCED DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JON NICOSIA PH.D. (OWNER/PSYCHOLOGIST)
(412) 683-8378
Entity
Organization
Contact information
Practice address
3519 BIGELOW BLVD, PITTSBURGH, PA 15213-1023
(412) 683-8378
(412) 683-1215
Mailing address
3519 BIGELOW BLVD, PITTSBURGH, PA 15213-1023
(412) 683-8378
(412) 683-1215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
PA
1041C0700X
Clinical Social Worker
—
PA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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