Provider Demographics
NPI:1073808317
Name:GIORDANO, JESSICA LORRAINE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LORRAINE
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2721
Mailing Address - Country:US
Mailing Address - Phone:516-521-5604
Mailing Address - Fax:646-962-0273
Practice Address - Street 1:505 E 70TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:646-962-2238
Practice Address - Fax:646-962-0273
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS