Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 278512 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 35.098742 | OH |
NPI | 1053546242 |
---|---|
Provider Name | Dr. Heather Elizabeth Giambo |
First Address | Akron, OH 44308-1063 |
Second Address | New York, NY 10009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 11/06/2020 |