Individual
MICHAEL D GIASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 - 13 AVE, BROOKLYN, NY 11228
(718) 837-5100
(718) 837-7762
Mailing address
7210 - 13 AVE, 3RD FLOOR, BROOKLYN, NY 11228
(718) 837-5100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
147962
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01484284
—
NY
Enumeration date
06/01/2006
Last updated
01/15/2013
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