Individual
DR. ANTHONY R. PISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 CRITTENDEN BLVD, URMC, BOX PSYC, ROCHESTER, NY 14642-0001
(585) 275-3644
Mailing address
300 CRITTENDEN BLVD, URMC, BOX PSYC, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
15299
NY
103TC0700X
Clinical Psychologist
Primary
015299
NY
103TC2200X
Clinical Child & Adolescent Psychologist
015299
NY
103TF0000X
Family Psychologist
015299
NY
106H00000X
Marriage & Family Therapist
000315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02507371
MEDICAID
NY
Enumeration date
04/14/2006
Last updated
07/05/2023
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