Provider Demographics
NPI:1649414483
Name:MARGARITA K. GIOTIS MD PC
Entity Type:Organization
Organization Name:MARGARITA K. GIOTIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:716-632-2028
Mailing Address - Street 1:19 LIMESTONE DRIVE
Mailing Address - Street 2:UNIT 7
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-632-2028
Mailing Address - Fax:716-633-5299
Practice Address - Street 1:19 LIMESTONE DRIVE
Practice Address - Street 2:UNIT 7
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-632-2028
Practice Address - Fax:716-633-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171970-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB71452Medicare UPIN
NY052943Medicare PIN