Provider Demographics
NPI:1538192042
Name:GIUGNO, LUIGI A (MD)
Entity type:Individual
Prefix:
First Name:LUIGI
Middle Name:A
Last Name:GIUGNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 LONG POND RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4117
Mailing Address - Country:US
Mailing Address - Phone:585-368-4800
Mailing Address - Fax:585-368-4815
Practice Address - Street 1:1561 LONG POND RD
Practice Address - Street 2:SUITE 206
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4117
Practice Address - Country:US
Practice Address - Phone:585-368-4800
Practice Address - Fax:585-368-4815
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235409207R00000X, 208M00000X
NY235409-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02653712Medicaid
NYRA6476Medicare PIN
NY02653712Medicaid
NYJ400047565/GRP70008AMedicare PIN