Provider Demographics
NPI:1356785794
Name:GIANNI, MARIA NICOLE (LPN)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:NICOLE
Last Name:GIANNI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MEREDITH DR
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2725
Mailing Address - Country:US
Mailing Address - Phone:631-521-3447
Mailing Address - Fax:
Practice Address - Street 1:5 MEREDITH DR
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-2725
Practice Address - Country:US
Practice Address - Phone:631-521-3447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-27
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313948-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse