Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 041048 | NY |
Y | 213EG0000X | General Practice | 041048 | NY |
NPI | 1003034802 |
---|---|
Provider Name | Dr. Mary Ann Pietropaolo |
First Address | Yonkers, NY 10701 |
Second Address | Yonkers, NY 10701-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |