Healthcare Provider Details

I. General information

NPI: 1619943453
Provider Name (Legal Business Name): ROBERT GIUSTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 32ND ST L-3 MEDICAL
NEW YORK NY
10016-6004
US

IV. Provider business mailing address

160 E 32ND ST
NEW YORK NY
10016-6004
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5940
  • Fax: 212-263-5808
Mailing address:
  • Phone: 212-263-5940
  • Fax: 212-263-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number154917
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: