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Individual
JAMES PERGOLIZZI
Active
Individual
JAMES PERGOLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
152144-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082716
GHI
NY
05
—
00933748
—
NY
01
—
040426015099
FIDELIS
NY
01
—
10500339
BLUE SHIELD
NY
01
—
4700004
UNITED MCD
NY
01
—
729
TOTAL CARE
NY
01
—
729156
MVP
NY
Enumeration date
07/19/2006
Last updated
07/09/2007
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