Provider Demographics
NPI:1841589512
Name:GIORDANO, ALLISON L (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:140 ALLENS CREEK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3307
Mailing Address - Country:US
Mailing Address - Phone:585-445-8789
Mailing Address - Fax:585-368-6767
Practice Address - Street 1:140 ALLENS CREEK RD STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3307
Practice Address - Country:US
Practice Address - Phone:585-445-8789
Practice Address - Fax:585-368-6767
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2754992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400338850-GRPBA0017Medicare PIN
NYJ400338801Medicare PIN
NYJ400338522-GRP70008AMedicare PIN