Pisacano, Michael Anthony

Pisacano, Michael Anthony is an individual health care provider with primary practice located at 2590 Frisby Ave , Bronx NY 10461-3240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pisacano, Michael Anthony can be contacted via phone (718) 409-9400.

Contact Information

Primary practice address
2590 Frisby Ave Bronx NY 10461-3240
Phone: (718) 409-9400
Fax: (718) 409-9440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 230158 New York

Profile Details

NPI number 1194792887
LBN Legal business name Pisacano, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 12th, 2014 - about 10 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 1194792887 NPPES
Other 3363899 AETNA
Other 793937 AETNA
Other 0498382 AETNA
MEDICAID 02473687 AETNA
Other 3058260 AETNA
Other 2369528 AETNA
Other OH3348 AETNA
Other 010793879 AETNA
Other 194023P AETNA
Other 459A81 AETNA
Other P3093896 AETNA

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