Provider Demographics
NPI:1184702045
Name:THOMAS S GIUGLIANO DDS PC
Entity type:Organization
Organization Name:THOMAS S GIUGLIANO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:GIUGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-399-9320
Mailing Address - Street 1:488 MADISON AVENUE
Mailing Address - Street 2:SUTIE 1712
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-399-9320
Mailing Address - Fax:212-399-9321
Practice Address - Street 1:488 MADISON AVENUE
Practice Address - Street 2:SUITE 1712
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-399-9320
Practice Address - Fax:212-399-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040922261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental