Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KATHRYN GIANNICO, PA
ActiveMARY KATHRYN GIANNICO, PA is a Physician Assistant healthcare provider located in PORT JEFFERSON, New York. NPI 1154908390 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1154908390
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2021 (5.4035251250801 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
026500 (NY)026500 (NY)
Practice Information
- Address
-
75 N COUNTRY RDPORT JEFFERSON, NY, 117772119Browse NY providers · Browse ZIP 11777
- Phone
- 6314731320
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORT JEFFERSON, NY
| Name | Credential | NPI |
|---|---|---|
| JOSEPH M AUDIINO | P.A. | 1487620100 |
| KEITH C FIELD | P.A. | 1710953435 |
| IGOR LIZOGUBENKO | P.A. | 1033163035 |
| TRACY M MOREA | PA | 1265463541 |
| RONALD ROSSI | RPA-C | 1225062581 |
| MICHAEL SUZZIVALLI | — | 1194737973 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.