Individual
JOHN JAMES PICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6116
Mailing address
185 GENESEE ST, SUITE 600, UTICA, NY 13501-2199
(315) 793-8806
(315) 793-8046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
181727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224322
—
NY
05
—
01647929
—
NY
01
—
040426013862
FIDELIS
NY
01
—
10044432
CDPHP
NY
01
—
181727-9
WC
NY
01
—
225136
MVP
NY
01
—
300021951
RAIL ROAD MEDICARE
NY
01
—
9600800
GHI
NY
01
—
P010181727
BCBS
NY
Enumeration date
05/04/2006
Last updated
05/01/2023
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