Provider Demographics
NPI:1316702343
Name:GIAMMARINO, ADRIANA ROSALBA
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:ROSALBA
Last Name:GIAMMARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 POWERS RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-6506
Mailing Address - Country:US
Mailing Address - Phone:607-778-0607
Mailing Address - Fax:
Practice Address - Street 1:1246 STATE ROUTE 38
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-3217
Practice Address - Country:US
Practice Address - Phone:607-687-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant