Individual
MICHAEL ANTHONY PISACANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2590 FRISBY AVE, BRONX, NY 10461-3240
(718) 409-9400
(718) 409-9440
Mailing address
2590 FRISBY AVE, BRONX, NY 10461-3240
(718) 409-9400
(718) 409-9440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
230158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010793879
POMCO
—
05
—
02473687
—
NY
01
—
0498382
GHI
—
01
—
194023P
HIP
—
01
—
2369528
UNITED
—
01
—
3058260
CIGNA
—
01
—
3363899
AETNA
—
01
—
459A81
BC BS
—
01
—
793937
MVP
—
01
—
OH3348
HEALTHNET
—
01
—
P3093896
OXFORD
—
Enumeration date
03/02/2006
Last updated
06/12/2014
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