Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 106773 | NY |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 106773 | NY |
NPI | 1124115217 |
---|---|
Provider Name | Patricia J Giardina |
First Address | New York, NY 10021-4870 |
Second Address | New York, NY 10021-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 14/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0187513 | (05) | NY |
B18103 | (02) | NY |