Pellicone, John Thomas

Pellicone, John Thomas is an individual health care provider with primary practice located at 1901 1St Ave Rm 1B14 Metropolitan Hospital Center-Chief Medical Officer, New York NY 10029-7404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pellicone, John Thomas can be contacted via phone (212) 423-8131.

Contact Information

Primary practice address
1901 1St Ave Rm 1B14 Metropolitan Hospital Center-Chief Medical Officer New York NY 10029-7404
Fax: (212) 423-8408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 150985 New York

Profile Details

NPI number 1104828169
LBN Legal business name Pellicone, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Apr 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104828169 NPPES
New York MEDICAID 00964943

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