Provider Demographics
NPI:1174710321
Name:MICHAEL F. GIOSCIA M.D., P.C.
Entity type:Organization
Organization Name:MICHAEL F. GIOSCIA M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-997-8081
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-997-8081
Mailing Address - Fax:914-686-3369
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-997-8081
Practice Address - Fax:914-686-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185104208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF24554Medicare UPIN
NYWER391Medicare PIN