Basic Information
| Provider Information | |||||||||
| NPI: | 1013433176 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIOIA | ||||||||
| FirstName: | DOROTHY | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
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| Credential: | FNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PRATT | ||||||||
| OtherFirstName: | DOROTHY | ||||||||
| OtherMiddleName: | A | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 243 NORTH RD STE 304 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126011173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454375060 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 696 DUTCHESS TPKE STE 11 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126036444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454548200 | ||||||||
| FaxNumber: | 8453433295 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2017 | ||||||||
| LastUpdateDate: | 06/02/2021 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 06/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F341971 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.