Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 184274 | NY |
N | 208600000X | Surgeon | 184274 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 184274 | NY |
NPI | 1033206123 |
---|---|
Provider Name | Leonard Girardi |
First Address | New York, NY 10065-4870 |
Second Address | New York, NY 10065-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 16/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01749884 | (05) | NY |