Individual
GARY GIANGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
256 MASON AVE, BUILDING B 2ND FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-6800
(718) 226-1295
Mailing address
256 MASON AVE, BUILDING B 2ND FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-6800
(718) 226-1295
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
147476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485056
—
NY
01
—
216108
LICENSE
NY
Enumeration date
04/14/2006
Last updated
08/22/2008
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