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NPI Code Detail

MEDICARE: VICTORIA LAUREN GIANATIEMPO

MEDICARE:   VICTORIA LAUREN GIANATIEMPO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist049100NY

General Provider Information

NPI Number : 1790406841
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LAUREN GIANATIEMPO
Provider Business Mailing Address
First Line : 15161 10TH AVE
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-1839
Country : US
Telephone Number : 718-746-5137
Fax Number :
Provider Business Practice Location Address
First Line : 490 DRIGGS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-2019
Country : US
Telephone Number : 718-230-1180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/07/2022

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Directions to “ VICTORIA LAUREN GIANATIEMPO ” Practice Location

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