Doctor Name: | MS. THERESA GIAMMARINO |
NPI Number: | 1053556282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA |
License Number: | 012400 |
Business Practice Address: | 51-e 25th Street 6th Fl New York City, NY - 10010 |
Business Phone Number: | 2128133632 |
Business Fax Number: | 9415528766 |
Mailing Address: | 51-e 25th Street, 6th Fl NEW YORK CITY |
State: | NY |
Postal Code: | 10010 |
Phone Number: | 2128133632 |
Fax Number: | 9415528766 |
NPI Enumeration Date: | 12/02/2008 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 012400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |