Provider Demographics
NPI:1184797243
Name:GIOSCIA, MICHAEL F
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:GIOSCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUTIE 212
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUTIE 212
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:941-997-8081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185104208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY159316POtherHIP ID
NYWS1259OtherOXFORD ID
NY2C1078OtherHEALTH NET ID
NY100521OtherGHI ID
NY2145154OtherUS HEALTHCARE ID
NY2C1078OtherPOMCO ID
NY4240568OtherAETNA ID
NY53K361OtherEMPIRE ID
NY2C1078OtherHEALTH NET ID
NY2145154OtherUS HEALTHCARE ID