Provider Demographics
NPI:1811969504
Name:GIANTINOTO, SALVATORE (DO)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:GIANTINOTO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 NORTHERN BLVD STE 328
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5329
Mailing Address - Country:US
Mailing Address - Phone:516-233-2484
Mailing Address - Fax:516-304-5850
Practice Address - Street 1:8 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2131
Practice Address - Country:US
Practice Address - Phone:631-224-4442
Practice Address - Fax:631-224-4446
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2165112OtherOXFORD
NY431957097OtherAETNA
NY3C3926OtherHEALTHNET
NY0199P1OtherBLUE CROSS BLUE SHIELD
NYP00154267OtherRAILROAD MEDICARE
NY33957POtherHIP
NY113447OtherVYTRA
NY5996858OtherGHI
NY3C3926OtherHEALTHNET
NY11V131Medicare ID - Type Unspecified
NYP00154267OtherRAILROAD MEDICARE