Healthcare Provider Details

I. General information

NPI: 1225220577
Provider Name (Legal Business Name): ANNAMARIA GIORDANO DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 WOODBURY ROAD
PLAINVIEW NY
11379
US

IV. Provider business mailing address

76-03 69TH ROAD
MIDDLE VILLAGE NY
11379
US

V. Phone/Fax

Practice location:
  • Phone: 516-433-3353
  • Fax: 516-433-8662
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number006231
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: