Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 269512 | MA |
N | 111NI0900X | Internist | 269512 | MA |
Y | 208200000X | Surgeon | 278390 | NY |
Y | 208600000X | Surgeon | 278390 | NY |
N | 2086S0102X | Surgical Critical Care | 278390 | NY |
NPI | 1093030256 |
---|---|
Provider Name | Dr. Matthew D Giangola |
First Address | New Hyde Park, NY 11040-1496 |
Second Address | Weymouth, MA 02190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 22/10/2020 |