Provider Demographics
NPI:1265495907
Name:MARTIGNETTI, GIAMPIERO A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GIAMPIERO
Middle Name:A
Last Name:MARTIGNETTI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:A
Other - Last Name:MARTIGNETTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1425 MADISON AVENUE
Mailing Address - Street 2:MT SINAI SCHOOL OF MEDICINE - DEPT OF HUMAN GENETICS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-0029
Mailing Address - Country:US
Mailing Address - Phone:212-659-6744
Mailing Address - Fax:212-849-2638
Practice Address - Street 1:MT SINAI SCHOOL OF MEDICINE
Practice Address - Street 2:1425 MADISON AVENUE - BOX 1498
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-0029
Practice Address - Country:US
Practice Address - Phone:212-659-6744
Practice Address - Fax:212-849-2638
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198481-1170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBM5972220OtherDEA