Individual
DR. JOSEPH C GIANFAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601
(315) 782-7330
(315) 782-5773
Mailing address
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601
(315) 782-7330
(315) 782-5773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
268563
NY
208000000X
Pediatrics Physician
Primary
268563
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03635105
—
NY
Enumeration date
06/04/2010
Last updated
01/13/2022
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