Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 163668 | NY |
NPI | 1013013564 |
---|---|
Provider Name | Joseph Cioffi |
First Address | Mineola, NY 11501-4064 |
Second Address | Mineola, NY 11501-4064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03356136 | (05) | NY |