Jeannine K Giacovelli, M.D.
Individual provider Active NPI Surgery Physician · Tuckahoe, NY
NPI 1043452964 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1043452964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 250226-1 (NY)
- Practice address
- 1 Elm St Ste GR-D
Tuckahoe, NY 10707-3925 - Phone
- (914) 733-6210
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250226-1 | NY | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 250226-1 | NY | Yes |
Addresses
Primary practice location
1 Elm St Ste GR-D
Tuckahoe, NY 10707-3925
Mailing address
1 Elm St Ste GR-D
Tuckahoe, NY 10707-3925
Phone (914) 733-6210
Other providers in Tuckahoe, NY
- Ivan Flores
- Lisa Marie Fragola
- Frank P. Petronella DDS PC
- Carole Sonnenfeld Geithner
- James Eric Genova
- Nancy Gill
- Stephan Giuffrida I
- Gwendolyn Gonzalez
- Yolanda Gonzalez
- Frank Graziano
All providers in Tuckahoe, NY · Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.