Individual
COLETTE GIGLIO-TARANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W 17TH ST, DEER PARK, NY 11729-4912
(631) 707-3006
Mailing address
215 W 17TH ST, DEER PARK, NY 11729-4912
(631) 707-3006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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