Provider Demographics
NPI:1558477240
Name:GENE T GIAMARINO PC
Entity type:Organization
Organization Name:GENE T GIAMARINO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAMARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-748-0202
Mailing Address - Street 1:421 73RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2609
Mailing Address - Country:US
Mailing Address - Phone:718-748-0202
Mailing Address - Fax:718-748-9777
Practice Address - Street 1:421 73RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-748-0202
Practice Address - Fax:718-748-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005482208100000X
FL1239765208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3299543OtherCIGNA
NY0089897OtherGHI
NY49P0571OtherNY PRESBYTERIAN COM HLTH
NYQ52191OtherEMPIRE BCBS
NY750603OtherUNITED HEALTH CARE
NY807494OtherNYSHIP THE EMPIRE PLAN
P1024328OtherOXFORD
NY907063OtherFIRST HEALTH
NY=========OtherGUARDIAN
P1024328OtherOXFORD
NYQ52191OtherEMPIRE BCBS
NY=========Other1199 NATIONAL BENEFIT FUN
NY0089897OtherGHI
NY807494OtherNYSHIP THE EMPIRE PLAN
NY907063OtherFIRST HEALTH
NY=========OtherEMPIRE BLUE CHOICE
P1024328OtherOXFORD