Provider Demographics
NPI:1801594411
Name:GIULIANI, JOSEPH JONATHAN (DPT)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JONATHAN
Last Name:GIULIANI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 ISLIP AVENUE
Mailing Address - Street 2:APARTMENT 304
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751
Mailing Address - Country:US
Mailing Address - Phone:631-774-7755
Mailing Address - Fax:
Practice Address - Street 1:127 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2840
Practice Address - Country:US
Practice Address - Phone:631-880-7577
Practice Address - Fax:631-880-7578
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050167261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy