Healthcare Provider Details

I. General information

NPI: 1639410673
Provider Name (Legal Business Name): ROBERT GIORDANO L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 E 11TH ST
NEW YORK NY
10003-6001
US

IV. Provider business mailing address

52 E 11TH ST
NEW YORK NY
10003-6001
US

V. Phone/Fax

Practice location:
  • Phone: 646-470-6709
  • Fax:
Mailing address:
  • Phone: 646-470-6709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: