Individual
DR. IDA GERTRUDIS GIORDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 PROSPECT ST, HUNTINGTON, NY 11743-3317
(631) 673-6909
(631) 673-7153
Mailing address
17 PROSPECT ST, HUNTINGTON, NY 11743-3317
(631) 673-6909
(631) 673-7153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117480
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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