Doctor Name: | DR. KIRA ANTONIA GERACI-CIARDULLO |
NPI Number: | 1245236207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 146408 |
Business Practice Address: | 1600 Harrison Ave Ste 304 Mamaroneck, NY - 105433151 |
Business Phone Number: | 9147771179 |
Business Fax Number: | 9147771262 |
Mailing Address: | 1600 Harrison Ave, Ste 304 MAMARONECK |
State: | NY |
Postal Code: | 105433151 |
Phone Number: | 9147771179 |
Fax Number: | 9147771262 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 146408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |