Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 224266 | MA |
NPI | 1104901206 |
---|---|
Provider Name | Alisha R Oropallo |
First Address | Mineola, NY 11501-4064 |
Second Address | Mineola, NY 11501-4064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 11/04/2011 |