Provider Demographics
NPI:1619019122
Name:GIORLANDO, CARL SALVATORE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:SALVATORE
Last Name:GIORLANDO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3518
Mailing Address - Country:US
Mailing Address - Phone:718-442-4646
Mailing Address - Fax:718-815-3825
Practice Address - Street 1:1924 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3518
Practice Address - Country:US
Practice Address - Phone:718-442-4646
Practice Address - Fax:718-815-3825
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist