Provider Demographics
NPI:1578633095
Name:GIARRAPUTO, JOANN (MA, LA)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:
Last Name:GIARRAPUTO
Suffix:
Gender:F
Credentials:MA, LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 E MAIN ST
Mailing Address - Street 2:SUITE
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2800
Mailing Address - Country:US
Mailing Address - Phone:631-277-6000
Mailing Address - Fax:631-277-6862
Practice Address - Street 1:369 E MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2800
Practice Address - Country:US
Practice Address - Phone:631-277-6000
Practice Address - Fax:631-277-6862
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1412231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00245276Medicaid
NYM24311Medicare UPIN
NYMOW181Medicare ID - Type Unspecified