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Individual

DR. GEORGE OLIVER PICCORELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 848-8750
(914) 848-8751
Mailing address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 848-8750
(914) 848-8751

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
043639
CT
2086S0129X
Vascular Surgery Physician
Primary
154245
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00199903
NY
Enumeration date
12/13/2005
Last updated
02/11/2016
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