Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 214811 | NY |
N | 2086X0206X | Surgical Oncologist | A87281 | CA |
NPI | 1205935913 |
---|---|
Provider Name | Mr. Alessio Pigazzi |
First Address | New York, NY 10065-4870 |
Second Address | New York, NY 10064-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A872810 | (05) | CA |
H93961 | (02) |