Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N004298 | NY |
NPI | 1295791242 |
---|---|
Provider Name | Dr. John Joseph Rainieri |
First Address | Putnam Valley, NY 10579-2606 |
Second Address | Montrose, NY 10548-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 11/07/2007 |