Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 314515 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A170868 | CA |
NPI | 1093178931 |
---|---|
Provider Name | Alexander Volpi |
First Address | New York, NY 10075-1850 |
Second Address | Los Angeles, CA 90045-9212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 08/02/2022 |