Provider Demographics
NPI:1770744518
Name:GIANNINI, NANCY (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:GIANNINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:GIANNINI
Other - Last Name:KUSIOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2529 ROUTE 52
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3227
Mailing Address - Country:US
Mailing Address - Phone:845-227-0123
Mailing Address - Fax:845-227-0345
Practice Address - Street 1:2529 ROUTE 52
Practice Address - Street 2:SUITE 3
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3227
Practice Address - Country:US
Practice Address - Phone:845-227-0123
Practice Address - Fax:845-227-0345
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216396208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG06647Medicare UPIN