Provider Demographics
NPI:1881949394
Name:GIARDINA, PATRICIA-ANN (MSED)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA-ANN
Middle Name:
Last Name:GIARDINA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:PATRICIA-ANN
Other - Middle Name:
Other - Last Name:BARBIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED
Mailing Address - Street 1:258 FORSYTHE AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-2203
Mailing Address - Country:US
Mailing Address - Phone:516-819-1255
Mailing Address - Fax:
Practice Address - Street 1:258 FORSYTHE AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2203
Practice Address - Country:US
Practice Address - Phone:516-819-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist