Dr. Thomas Joseph Giannattasio Sr., MD
Pediatrics in Massapequa Park, NY. Individual provider (NPI-1).
NPI number1154497899
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154497899
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Joseph Giannattasio Sr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 139936 | NY | Yes |
Practice location
1130 Park BoulevardMassapequa Park, NY 11762
Phone 516-541-6584
Mailing address
1130 Park BoulevardThomas Giannattasio
Massapequa Park, NY 11762
Phone 516-541-6584
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