Provider Demographics
NPI:1679866438
Name:PIETRAGALLO, HELANA
Entity type:Individual
Prefix:
First Name:HELANA
Middle Name:
Last Name:PIETRAGALLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 BARNES LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3177
Mailing Address - Country:US
Mailing Address - Phone:412-854-7140
Mailing Address - Fax:412-854-7142
Practice Address - Street 1:8800 BARNES LAKE RD
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-3177
Practice Address - Country:US
Practice Address - Phone:412-854-7140
Practice Address - Fax:412-854-7142
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455423207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology