Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 048213 | CT |
Y | 2080P0202X | Pediatric Cardiologist | 236319 | NY |
NPI | 1164650644 |
---|---|
Provider Name | Joseph L Giamelli |
First Address | Hawthorne, NY 10532-1533 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 27/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03119775 | (05) | NY |