Provider Demographics
NPI:1093882391
Name:MEADOWLANDS ENDOCRINOLOGY
Entity Type:Organization
Organization Name:MEADOWLANDS ENDOCRINOLOGY
Other - Org Name:DR KAREN F GIARDINO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-930-4357
Mailing Address - Street 1:1000 YOUNGS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WILLIAMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:716-636-8357
Mailing Address - Fax:716-636-1369
Practice Address - Street 1:1000 YOUNGS RD
Practice Address - Street 2:SUITE 207
Practice Address - City:WILLIAMVILLE
Practice Address - State:NY
Practice Address - Zip Code:14224
Practice Address - Country:US
Practice Address - Phone:716-636-8357
Practice Address - Fax:716-636-1369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3306431363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9512954OtherINDEPENDENT HEALTH
00027195301OtherUNIVERSE
9512954OtherINDEPENDENT HEALTH