Individual
MS. MICHELE ANNE GIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 904-2000
Mailing address
87 GEORGIA AVE, BRONXVILLE, NY 10708-6207
(914) 771-5848
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381166-1
NY
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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