Organization
GIANNA PHYSICIAN PRACTICE OF NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRICK STOLDT (CHIEF FINANCIAL OFFICER)
(732) 745-6651
Entity
Organization
Contact information
Practice address
15 E 40TH ST, SUITE 101, NEW YORK, NY 10016-0401
(212) 481-1219
(212) 481-1423
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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