Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 175847-1 | NY |
Y | 207R00000X | Internist | NY175847-1 | NY |
Y | 111NI0900X | Internist | NY175847-1 | NY |
NPI | 1154323012 |
---|---|
Provider Name | Brian C Alessi |
First Address | Rome, NY 13440-1900 |
Second Address | Rome, NY 13440-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 25/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01180592 | (05) | NY |
E44057 | (02) | NY |