Individual
MARIA GIANNOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 STEWART AVE STE 30, GARDEN CITY, NY 11530-4803
(856) 577-8138
Mailing address
29 JACKSON PLACE, MASSAPEQUA, NY 11758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
289571-1
NY
Other
Enumeration date
07/10/2015
Last updated
07/18/2017
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