Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 056052 | NY |
NPI | 1083856124 |
---|---|
Provider Name | Alessandro Geminiani |
First Address | Pittsford, NY 14534-2928 |
Second Address | Rochester, NY 14618-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 28/02/2014 |