Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 176219-1 | NY |
NPI | 1043324759 |
---|---|
Provider Name | Richard A Gasalberti |
First Address | Forest Hills, NY 11375-6343 |
Second Address | Forest Hills, NY 11375-6343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 23/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000031586 | GHI HMO (01) | NY |
0009261 | GHI PPO (01) | NY |
01109764 | (05) | NY |
0117708 | AETNA HMO (01) | NY |
02F711 | EMPIRE BCBS OF NY (01) | NY |
040426017269 | FIDELIS (01) | NY |
107338100 | U.S. DEPARTMENT OF LABOR (01) | NY |
176219-1 | HIP (01) | NY |
176219-4 | WORKERS COMP (01) | NY |
4258501 | AETNA PPO (01) | NY |
5C3909 | HEALTHNET (01) | NY |
DS420 | OXFORD (01) | NY |
E50303 | (02) |