Individual
GIZNOLA CHARLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 488-8375
(718) 488-3725
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 488-8375
(718) 488-3725
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
005933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560507
—
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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