Provider Demographics
NPI:1326086414
Name:GIRARDI, FEDERICO P (MD)
Entity Type:Individual
Prefix:DR
First Name:FEDERICO
Middle Name:P
Last Name:GIRARDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4099
Mailing Address - Country:US
Mailing Address - Phone:212-606-1559
Mailing Address - Fax:212-774-2035
Practice Address - Street 1:523 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4099
Practice Address - Country:US
Practice Address - Phone:212-606-1946
Practice Address - Fax:212-472-1486
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237741-1207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2666893OtherOXFORD INS
NYL015826WOtherWORKMEN'S COMPENSATION
NY441G41Medicare ID - Type Unspecified
NYH55831Medicare UPIN