Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 252551 | NY |
N | 208D00000X | General Practice Physician | 252551 | NY |
NPI | 1629262035 |
---|---|
Provider Name | Dr. Athina Giovanis |
First Address | East Greenwich, RI 02818-5079 |
Second Address | East Greenwich, RI 02818-5079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 07/02/2012 |