MEDICARE: DR. LEWIS G. GIGLIA D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N003357	NY

General Provider Information

NPI Number	:	1780689323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEWIS G. GIGLIA D.P.M.

Provider Business Mailing Address
First Line	:	430 CROSS KEYS OFFICE PARK
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3506
Country	:	US
Telephone Number	:	585-223-1633
Fax Number	:	585-421-8093

Provider Business Practice Location Address
First Line	:	430 CROSS KEYS OFFICE PARK
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3506
Country	:	US
Telephone Number	:	585-223-1633
Fax Number	:	585-421-8093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	12/10/2007

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