Healthcare Provider Details

I. General information

NPI: 1881530566
Provider Name (Legal Business Name): VIOLET-MARIE GIORGIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CRATER LAKE DR # NY11727
CORAM NY
11727-2007
US

IV. Provider business mailing address

20 CRATER LAKE DR # NY11727
CORAM NY
11727-2007
US

V. Phone/Fax

Practice location:
  • Phone: 631-740-6608
  • Fax:
Mailing address:
  • Phone: 631-740-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: