Individual
MARCO PAPPAGALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 128TH ST, NEW YORK, NY 10035-1282
(917) 692-6243
(646) 799-9727
Mailing address
5 E 128TH ST, NEW YORK, NY 10035-1282
(917) 692-6243
(646) 799-9727
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
180493
NY
2084N0400X
Neurology Physician
25MA09578600
NJ
2084P0800X
Psychiatry Physician
180493
NY
2084P0800X
Psychiatry Physician
25MA09578600
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
180493
NY
208VP0014X
Interventional Pain Medicine Physician
25MA09578600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01982838
—
NY
Enumeration date
11/08/2005
Last updated
12/23/2019
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