Provider Demographics
NPI:1437277852
Name:GIORGINI, GINO LOUIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GINO
Middle Name:LOUIS
Last Name:GIORGINI
Suffix:JR
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 1:47 SKIPPER DR
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-5029
Mailing Address - Country:US
Mailing Address - Phone:631-661-8312
Mailing Address - Fax:
Practice Address - Street 1:40 VERAZZANO AVE
Practice Address - Street 2:
Practice Address - City:COPIAGUE
Practice Address - State:NY
Practice Address - Zip Code:11726-2809
Practice Address - Country:US
Practice Address - Phone:631-842-4718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103488207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology