Provider Demographics
NPI:1073689352
Name:GIANNINO, FRANCIS (CERTIFIED PEDORTHIST)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:GIANNINO
Suffix:
Gender:M
Credentials:CERTIFIED PEDORTHIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4543
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-8543
Mailing Address - Country:US
Mailing Address - Phone:845-692-9225
Mailing Address - Fax:845-692-9225
Practice Address - Street 1:741 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1449
Practice Address - Country:US
Practice Address - Phone:845-692-9225
Practice Address - Fax:845-692-9225
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3010829247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other