Provider Demographics
NPI:1518035203
Name:GIORDANO, RITA A (APRN)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:A
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FOX ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4702
Mailing Address - Country:US
Mailing Address - Phone:845-452-9750
Mailing Address - Fax:845-452-9751
Practice Address - Street 1:21 FOX ST
Practice Address - Street 2:SUITE 102
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4702
Practice Address - Country:US
Practice Address - Phone:845-452-9750
Practice Address - Fax:845-452-9751
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY464837163WP0200X
NYF381870363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF334835OtherSTATE LICENSE