Healthcare Provider Details

I. General information

NPI: 1871689703
Provider Name (Legal Business Name): YVONNE PALMA GIUNTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

1 EDGEWATER ST 6TH FLOOR
STATEN ISLAND NY
10305-4900
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-9158
  • Fax: 718-226-6964
Mailing address:
  • Phone: 718-226-4324
  • Fax: 718-226-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number238011
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: