Organization
GIANNI PERSICH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANNI PERSICH DPM (SOLE PROPRIETOR)
(718) 777-0360
Entity
Organization
Contact information
Practice address
4207 30TH AVE, ASTORIA, NY 11103-2910
(718) 777-0360
(718) 777-3180
Mailing address
4207 30TH AVE, ASTORIA, NY 11103-2910
(718) 777-0360
(718) 777-3180
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P376490
OXFORD
NY
01
—
P52221
EMPIRE BLUE CROSS
NY
Enumeration date
07/17/2008
Last updated
08/04/2008
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