Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 231645 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 231645 | NY |
NPI | 1720095060 |
---|---|
Provider Name | John David Filippone |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12205-1438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02863734 | (05) | NY |
1017649 | (05) | VT |