Daniel P. Pisaniello
Family Doctor Family Doctor - Addiction Medicine
3926 State Route 12
Lyons Falls
, New York 13368-1919
Daniel P. Pisaniello
Family Doctor Family Doctor - Addiction Medicine
3926 State Route 12
Lyons Falls
, New York 13368-1919
(315) 701-5608
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Daniel P. Pisaniello
- Po Box 247
- Lyons Falls, NY
- Zip : 13368-0247
- Fax : (315) 701-5608
- Phone : (315) 701-5610
Second Address
- Daniel P. Pisaniello
- 3926 State Route 12
- Lyons Falls, NY
- Zip : 13368-1919
- Phone : (315) 348-8407
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 176752 | NY |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 176752 | NY |
National Provider Identifier
| NPI | 1710982616 |
|---|---|
| Provider Name | Daniel P. Pisaniello |
| First Address | Lyons Falls, NY 13368-0247 |
| Second Address | Lyons Falls, NY 13368-1919 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 01/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01161302 | (05) | NY |
| D48885 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.