Individual
JOHN GIANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 PINE ST, DEPOSIT FAMILY CARE CENTER, DEPOSIT, NY 13754-1301
(607) 467-4195
(607) 467-6219
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 467-6219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
161870
NY
207Q00000X
Family Medicine Physician
1618701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009395960
—
NY
Enumeration date
09/21/2005
Last updated
06/20/2012
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