Individual
MR. GIANNI MOSHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1300 FRANKLIN AVE STE MI-6, GARDEN CITY, NY 11530-1886
(516) 535-1900
Mailing address
1300 FRANKLIN AVE STE MI-6, GARDEN CITY, NY 11530-1886
(516) 535-1900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011629
NY
363AS0400X
Surgical Physician Assistant
3643
AZ
363AS0400X
Surgical Physician Assistant
PA9113858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241913
—
AZ
05
—
860087236
—
AZ
01
—
P00625155
RAILROAD MEDICARE
AZ
Enumeration date
07/24/2007
Last updated
11/15/2021
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