Provider Demographics
NPI:1144807629
Name:GIANNETTI, ROBERT EDWARD JR (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDWARD
Last Name:GIANNETTI
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7201
Mailing Address - Country:US
Mailing Address - Phone:212-604-1800
Mailing Address - Fax:
Practice Address - Street 1:226 W 14TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7201
Practice Address - Country:US
Practice Address - Phone:212-604-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327735207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine