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Provider Information for 1164650644

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JOSEPH L GIAMELLI MD

Gender: MALE

Individual NPI: 1164650644

Calendar   Last Updated:  2015-04-27
  Certification Date: 

Details

Name Value
NPI 1164650644
Enumeration Date 2009-06-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 19 BRADHURST AVE.,
HAWTHORNE, NY 10532-1533
United States

Phone: 914-594-4370 | Fax: 914-594-4513
View Map External Link
Primary Practice Address 19 BRADHURST AVE STE 1400
HAWTHORNE, NY 10532-2140
United States

Phone: 914-594-4370 | Fax: 914-594-4513
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NY 03119775
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0202X - Pediatrics Pediatric Cardiology NY 236319
No 2080P0202X - Pediatrics Pediatric Cardiology CT 048213