# FRANK R GIANNELLI III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225479975
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 016612 | NY | Yes |
| 363A00000X | Physician Assistant | 25MP00400400 | NJ | — |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 06/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016612 | LICENSE | NY |
| 05 | — | 03630224 | — | NY |