Individual
GIGLIOLA MARIA DOLMAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355
(718) 670-5535
(718) 670-8988
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
234947
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
234947
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640742
—
NY
Enumeration date
05/11/2006
Last updated
01/17/2013
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