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Individual

MICHAEL E PICHICHERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
1370991
NY
208000000X
Pediatrics Physician
Primary
1370991
NY
2080P0201X
Pediatric Allergy/Immunology Physician
137099
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000926103001
HEALTH NOW
05
00458833
NY
01
06901
BLUE CROSS/BLUE SHIELD
01
102310DL
PREFERRED CARE
01
5866108
AETNA
01
P010137099
EXCELLUS
Enumeration date
09/20/2006
Last updated
04/30/2008
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