Individual
DR. GIANNI PERSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2856 41ST ST, SUITE2A, ASTORIA, NY 11103-3302
(718) 777-0360
(718) 777-3180
Mailing address
2856A 41ST ST, ASTORIA, NY 11103-3301
(718) 777-0360
(718) 777-3180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N004789
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N004789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360874
—
NY
Enumeration date
07/16/2006
Last updated
09/20/2022
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