Individual
PETER J PISTILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1280 SCOTTSVILLE RD, SUITE 50, ROCHESTER, NY 14624-5147
(585) 436-7550
(585) 436-4022
Mailing address
1280 SCOTTSVILLE RD, SUITE 50, ROCHESTER, NY 14624-5147
(585) 436-7550
(585) 436-4022
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO00981
NY
224P00000X
Prosthetist
Primary
CPO00981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01459943
—
NY
Enumeration date
03/06/2007
Last updated
12/11/2007
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