Provider Demographics
NPI:1013907245
Name:GIANNONE, DEAN FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:FRANCIS
Last Name:GIANNONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4641 HYLAN BLVD # B
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6405
Mailing Address - Country:US
Mailing Address - Phone:718-948-6600
Mailing Address - Fax:718-608-9305
Practice Address - Street 1:4641 HYLAN BLVD # B
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6405
Practice Address - Country:US
Practice Address - Phone:718-948-6600
Practice Address - Fax:718-608-9305
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
214097B11OtherHEALTH FIRST
P1895667OtherOXFORD
04-07806OtherEVERCARE
2592195OtherGHI
21149216537OtherBEECH STREET
NY02023669Medicaid
34114POtherHIP
88S39OtherEMPIRE BC/BS
203368OtherMAGNACARE
21149216537OtherBEECH STREET
214097B11OtherHEALTH FIRST