Ida Gertrudis Giordano, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

117480 Issued in NY

Practice address

17 Prospect St
Huntington, NY 11743-3317

Phone

(631) 673-6909

Fax

(631) 673-7153

NPI assigned

Aug 15, 2006

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972516375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433317",
            "telephone_number": "631-673-6909",
            "fax_number": "631-673-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433317",
            "telephone_number": "631-673-6909",
            "fax_number": "631-673-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "IDA",
        "middle_name": "GERTRUDIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "117480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Gilbert, PA
• Paula Sara Gilbert, L.M.H.C.
• Tara Gildersleeve, LCSW
• Jeanne Ginsberg
• Christine Ann Giordano, PH.D.
• Nick Gioules, RPH
• Anthony Joseph Giovanniello, MD
• Melissa Giove, M.S.
• Philip Giusti, D.D.S.
• Glacier Psychology Services, PLLC

• Pediatrics Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.