Healthcare Provider Details

I. General information

NPI: 1932188513
Provider Name (Legal Business Name): DOUGLAS QUENTIN GIRGENTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HEMLOCK DR
CONGERS NY
10920-1401
US

IV. Provider business mailing address

3096 HIGH RIDGE RD
YORKTOWN HEIGHTS NY
10598-2832
US

V. Phone/Fax

Practice location:
  • Phone: 845-267-2500
  • Fax:
Mailing address:
  • Phone: 914-962-8970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number210384
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number210384
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: