Provider Demographics
NPI:1700975034
Name:CARROZZI, GIANNI C (MD)
Entity type:Individual
Prefix:
First Name:GIANNI
Middle Name:C
Last Name:CARROZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3444 KOSSUTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2410
Mailing Address - Country:US
Mailing Address - Phone:718-920-2273
Mailing Address - Fax:718-652-4435
Practice Address - Street 1:3444 KOSSUTH AVE
Practice Address - Street 2:PAB CLINIC
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2410
Practice Address - Country:US
Practice Address - Phone:718-920-5859
Practice Address - Fax:718-652-4435
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY190425207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine