Individual
JOHN THOMAS PELLICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 1ST AVE RM 1B14, METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICER, NEW YORK, NY 10029-7404
(212) 423-8131
(212) 423-8408
Mailing address
1901 1ST AVE RM 1B14, METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICER, NEW YORK, NY 10029-7404
(212) 423-8131
(212) 423-8408
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
150985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964943
—
NY
Enumeration date
06/02/2005
Last updated
04/08/2015
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