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NPI Code Detail

MEDICARE: MARIA GIGANTE MS, CNS

MEDICARE:   MARIA  GIGANTE  MS, CNS
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
1133N00000XNutritionist

General Provider Information

NPI Number : 1972146678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GIGANTE MS, CNS
Provider Business Mailing Address
First Line : 20 SQUADRON BLVD STE 400
Second Line :
City : NEW CITY
State : NY
Zip : 10956-5258
Country : US
Telephone Number : 845-638-8800
Fax Number : 845-638-1679
Provider Business Practice Location Address
First Line : 20 SQUADRON BLVD STE 400
Second Line :
City : NEW CITY
State : NY
Zip : 10956-5258
Country : US
Telephone Number : 845-638-8800
Fax Number : 845-638-1679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 10/25/2019

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