=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700906930
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCTORS GIORGIANNI, D.D.S,, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 NEELEY ST
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10940-2812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-343-1358
-----------------------------------------------------
Fax | 845-344-4948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 NEELEY ST
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10940-2812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-343-1358
-----------------------------------------------------
Fax | 845-344-4948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANK B. GIORGIANNI JR.
-----------------------------------------------------
Credential | D.D.S.
-----------------------------------------------------
Telephone | 845-343-1358
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 041418
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 039596
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------