Mary Theresa Giammanco

Primary specialty

SpecialistTaxonomy code 174400000X

License

980594 Issued in NY

Practice address

87 Campbell LN
East Islip, NY 11730-3617

Phone

(631) 835-6936

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1568890267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CAMPBELL LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303617",
            "telephone_number": "631-835-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CAMPBELL LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303617",
            "telephone_number": "631-835-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMMANCO",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "980594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Emely Garcia
• Gary a. Rosenfeld, DDS, PC (East Islip Dental Care)
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10634)
• George M. Devito DPM PC
• Ilene Gewirtz, M.D.
• Salvatore Giantinoto, D.O.
• Joann Giarraputo, M.A., LA
• Lawrence C Glaser, M.D.
• Brian Godbout, P.T.
• Emilly Jane Goldberg, LPN

• Specialist in East Islip, NY
• Providers in East Islip, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.