1194379644 NPI number — GIOVANNA FIORELLA KLIMOVITSKY MD

Table of content: GIOVANNA FIORELLA KLIMOVITSKY MD (NPI 1194379644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194379644 NPI number — GIOVANNA FIORELLA KLIMOVITSKY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLIMOVITSKY
Provider First Name:
GIOVANNA
Provider Middle Name:
FIORELLA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAMIREZ BARBIERI
Provider Other First Name:
GIOVANNA
Provider Other Middle Name:
FIORELLA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1194379644
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 STONE PI APPARTMENT 3210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MELROSE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02176
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-983-0627
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
374 STOCKHOLM ST, BROOKLYN, NY 11237
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-7272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  0000000000000 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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